RESUMO
Optical coherence tomography (OCT) is a useful coronary imaging tool for atherosclerotic plaque characterization and stent evaluation. However, proximal balloon inflation is required in order to reduce signal changes caused by red blood cells and to acquire a clear image. One rare acute complication related to proximal balloon occlusion is micro-thrombus formation. We report a case of multiple, acute micro-thrombi forming after an OCT procedure, despite the use of appropriate prevention for intracoronary thrombus formation.
Assuntos
Oclusão com Balão , Eritrócitos , Inflação , Placa Aterosclerótica , Stents , Trombose , Tomografia de Coerência ÓpticaRESUMO
Lipoma is a common neoplasm in soft tissues. However, an intrapulmonary lipoma is a rare benign tumor. Patients with a bronchial lipoma might have a malignant potential related to their smoking history due to the case reports of lung cancer accompanied with lipoma. Endobronchial lipoma can cause irreversible parenchymal lung damage if not diagnosed and treated early. Therefore, it should initially be treated by fiberoptic bronchoscopy or surgery depending on the status of distal parenchymal lung damage. Bronchiolitis obliterans with organizing pneumonia (BOOP) is a pathological syndrome that is defined by the presence of buds of granulation tissue consisting of fibroblasts and collagen within the lumen of the distal air spaces. BOOP is caused by drug intoxication, connective tissue disease, infection, obstructive pneumonia, tumors, or an unknown etiology. We encountered a 58 year-old male patient with endobronchial lipoma, causing the collapse of the right middle and lower lobes, and BOOP due to obstructive pneumonia.
Assuntos
Humanos , Masculino , Bronquiolite , Bronquiolite Obliterante , Broncoscopia , Colágeno , Doenças do Tecido Conjuntivo , Pneumonia em Organização Criptogênica , Fibroblastos , Tecido de Granulação , Lipoma , Pulmão , Neoplasias Pulmonares , Pneumonia , Fumaça , FumarRESUMO
Ethylene glycol is commonly found in automobile antifreeze and a variety of other commercial products. Ingestion of ethylene glycol, either accidentally or in a making an attempt at suicide, is characterized by severe metabolic acidosis, calcium oxalate crystal formation and deposition, and various end organ damages that may be fatal with about 80% mortality rate. We present here a case of a patient who ingested about 300cc of ethylene glycol to siucide, and developed acute renal failure, acute pancreatitis and bone marrow suppression, but successfully be treated with minimal sequelae.
