[Idiopathic pulmonary artery aneurysm: report of a case and review of the literature]. / Aneurisma idiopático de la arteria pulmonar. Presentación de un caso y revisión de la literatura.

Woman of 63 years old with essential arterial hypertensión, essential trembling and chronic venous insufficiency of inferior members; she came to the Internal Medicine outpatients department because of her chronic venous insufficiency, objectifying in the physical examination a systolic heart murmur II/VI in the left sternal border and many signs of chronic venous insufficiency in the inferior members. In the chest radiograph was found as an accidental finding, a properly delimited vascular image in the left upper mediastino, for this reason there were later realized diverse complementary examinations gradually more aggressive, that included a pulmonary angiography which revealed the presence of an aneurysmatic dilatation in the common and left pulmonary arteries. With these findings, the patient was undergoing a surgical operation, in which was realized a partial resection and folder to the common and left pulmonary arteries to reduce diameter to 2-3 centimetres, with a post-operative period without complications and staying without symptoms after the surgery.

Aneurisma idiopático de la arteria pulmonar. Presentación de un caso y revisión de la literatura / Idiopathic pulmonary artery aneurysm: report a case and review of the literature

Mujer de 63 años de edad con hipertensión arterial esencial, temblor esencial e insuficiencia venosa crónica en miembros inferiores; que acude a la Consulta Externa de Medicina Interna por su insuficiencia venosa crónica, objetivandose en la exploración física un soplo sistólico WVI en borde esternal izquierdo y signos de insuficiencia venosa crónica en miembros inferiores. En la radiografía de tórax se encontró como hallazgo casual, una imagen vascular bien delimitada a nivel del medias tino superior izquierdo, motivo por el que se realizaron posteriormente diversas exploraciones complementarias progresivamente más agresivas, que incluyeron una angiografía pulmonar, que reveló la presencia de una dilatación aneurismática de las arterias pulmonares común e izquierda. Con estos hallazgos, la paciente fue sometida a intervención quirúrgica, realizándose resección parcial y plicatura de las arterias pulmonares común e izquierda hasta reducir a un diámetro de 2-3 centímetros, con un postoperatorio sin complicaciones y permaneciendo asintomática tras la cirugía

Woman of 63 years old with essential arterial hypertensión, essential trembling and chronic venous insufficiency of inferior members; she carne to the Internal Medicine outpatients department because of her chronic venous insufficiency, objectifying in the physical examination a systolic heart murmur WVI in the left sternal border and many signs of chronic venous insufficiency in the inferior members. In the chest radiograph was found as an accidental finding, a properly delimited vascular image in the left upper mediastino, for this reason there were later realized diverse complementary examinations gradually more aggressive, that included a pulmonary angiography which revealed the presence of an aneurysmatic dilatation in the common and left pulmonary arteries. With these findings, the patient was undergoing a surgical operation, in which was realized a partial resection and folder to the common and left pulmonary arteries to reduce diameter to 2-3 centimetres, with a postoperative period without complications and staying without symptoms after the surgery

Neumonía extrahospitalaria bacteriémica por Citrobacter diversus / Citrobacter diversus bacteriemic community-acquired pheumonia

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[Paraneoplastic ataxia due to laryngeal carcinoma]. / Ataxia paraneoplásica por carcinoma laríngeo.

Paraneoplastic syndromes are not common in ear, nose and throat disease, but they can cause disease in various organ systems. We report a case of supraglottic laryngeal carcinoma in a patient examined for ataxia. Surgical removal of the tumor resolved the cerebellar symptoms.