RESUMO
A 49-year-old female patient who had undergone surgery for hepatic echinococcosis five years previously was admitted with haemoptysis. MRI angiography showed total occlusion of the left inferior pulmonary artery. Echocardiography showed no pulmonary hypertension. The patient underwent pneumonectomy and cysts in the left pulmonary artery were observed. Pulmonary artery involvement should be considered in patients who have undergone hepatic cyst surgery if haemoptysis is the first presenting symptom, especially in endemic regions for hydatidosis.
Assuntos
Equinococose Pulmonar/tratamento farmacológico , Hemoptise/diagnóstico , Artéria Pulmonar/patologia , Embolia Pulmonar/tratamento farmacológico , Albendazol/uso terapêutico , Anti-Helmínticos/uso terapêutico , Equinococose Pulmonar/cirurgia , Feminino , Hemoptise/parasitologia , Humanos , Pessoa de Meia-Idade , Artéria Pulmonar/parasitologia , Embolia Pulmonar/parasitologiaRESUMO
We report two cases of primary cardiac hydatid cyst in which hydatid materials caused recurrent embolizations in pulmonary arteries and pulmonary parenchyma. Cardiac hydatid cysts may stay asymptomatic for a long time, until they reveal themselves being perforated into cardiac chambers and/or pulmonary artery or systemic circulation. The role of imaging techniques in diagnosis is discussed and the importance of dynamic enhanced CT, MR imaging, and enhanced MR angiography (MRA) is reported. Imaging findings were confirmed by surgery and pathology. Early diagnosis is essential because delayed treatment increases the morbidity and mortality rates.
Assuntos
Equinococose/diagnóstico , Cardiopatias/diagnóstico , Embolia Pulmonar/etiologia , Adolescente , Adulto , Diagnóstico Diferencial , Equinococose/complicações , Feminino , Cardiopatias/complicações , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Tomografia Computadorizada por Raios XRESUMO
A 21-year-old male patient was admitted with spontaneous pneumothorax, and no history of asthma. Closed drainage treatment was unsuccessful. Chest computed tomography demonstrated pneumomediastinum and subcutaneous emphysema with multiple air bubbles within the spinal canal between the levels Th3 and Th11. Resection of bullae on the upper lobe and partial pleurectomy were performed. Postoperative period was uneventful. Epidural emphysema was resolved spontaneously without neurologic symptoms and signs. Intraspinal air, or pneumorachis, associated with spontaneous pneumothorax and pneumomediastinum is an extremely rare condition. We discussed spontaneous pneumothorax and pneumomediastinum as well as epidural pneumatosis and reviewed reported cases in the literature.
Assuntos
Enfisema/etiologia , Espaço Epidural , Pneumotórax/complicações , Canal Medular , Adulto , Humanos , Masculino , Enfisema Mediastínico/complicações , Enfisema Mediastínico/diagnóstico por imagem , Pneumotórax/diagnóstico por imagem , Canal Medular/diagnóstico por imagem , Enfisema Subcutâneo/diagnóstico por imagem , Enfisema Subcutâneo/etiologia , Tomografia Computadorizada por Raios XRESUMO
A 58-year-old male patient admitted with malignant fibrous histiocytoma of the left mainstem. Rareness and unusual presentation of malignant fibrous histiocytoma and surgical management for lung salvage made its reporting worthwhile. In this localization, prognostic characteristics are better than in the other localizations of lung and body.
