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Respirology Case Reorts

Table of Contents for
Volume 06 Issue 1
January 2018

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Case Reports

Pulmonary schistosomiasis mimicking IgG4-related lung disease
Timothy Baird, Caroline L Cooper, Richard Wong, Naomi Runnegar and Gregory Keir
DOI: 10.1002/rcr2.276

We report a case of a 44-year-old male referred with suspected IgG4 related lung disease that highlights the importance of a comprehensive clinical assessment, including a confirmatory tissue biopsy. Despite elevated serum IgG4 levels coupled with suggestive symptoms and radiologic changes, a surgical lung biopsy revealed an unexpected diagnosis of pulmonary schistosomiasis.

Idiopathic pulmonary vein thrombosis?
Timothy J Barreiro, Venkateswara K Kollipara and David J Gemmel
DOI: 10.1002/rcr2.277

Idiopathic pulmonary vein thrombosis (PVT) is a rare disease which is likely under-diagnosed because of nebulous presentations. Accurate diagnosis is essential to prevent complications.

Traumatic left main bronchial rupture: delayed but successful outcome of robotic-assisted reconstruction
Hu-Lin C Wang, Cheng-Hung How, Heng-Fu Lin and Jang-Ming Lee
DOI: 10.1002/rcr2.278

A 23-year-old man suffered traumatic rupture of the left main bronchus that eventually progressed to left main bronchus fibrosis and total obstruction, resulting in left lung atelectasis and consolidation. To date, there are no studies reporting the utilization of robotic surgical systems for bronchial injury repairs. This is the first case of traumatic bronchial rupture to employ robotic-assisted surgery for bronchial reconstruction with satisfactory morphological and functional results.

Lung Mycobacterium avium developed after removing an acupuncture needle from the lung
Mikihito Saito, Hajime Kasai, Kengo Shimazu, Takashi Urushibara, Tomohiko Iida and Toshihide Shinozaki
DOI: 10.1002/rcr2.279

We present a case of lung Mycobacterium avium that developed after removing a broken acupuncture needle from the lung.

Lupus pneumonitis presenting with high titre of anti-Ro antibody
Mei-Chuan Chen, Yueh-Lin Wu, Kai-Ling Lee, Kevin S Lai and Chi-Li Chung
DOI: 10.1002/rcr2.280

We report a 21-year-old lady with SLE who presented with rapidly progressive lung opacities and was diagnosed as having lupus pneumonitis by pathological examination and high serum anti-Ro antibody. Afterwards, she showed a favourable response to plasma exchange, steroid pulse therapy and mycophenolate mofetil (MMF) treatment. For SLE patients with pulmonary infiltrates, high degree of clinical suspicion of lupus pneumonitis is required and measurement of serum anti-Ro antibody may help to make the diagnosis.

Lung injury associated with electronic cigarettes inhalation diagnosed by transbronchial lung biopsy
Masayuki Itoh, Kazutetsu Aoshiba, Yoriko Herai, Hiroyuki Nakamura and Tamiko Takemura DOI: 10.1002/rcr2.282

Electronic cigarettes (e-cigs) have gained in popularity in recent years. The toxins in e-cig smoke are considered to be fewer than in cigarettes. However, lung injury caused by e-cig use, while rare, continues to be reported. Here, we report the clinical and pathological findings of a case of e-cig-induced acute lung injury confirmed by bronchoalveolar lavage and transbronchial lung biopsy.

Clinical Images

A saccular superior vena cava aneurysm with unique diagnostic computed tomography findings
Tetsuya Yokoyama, Taro Setoguchi, Kazuo Sakamoto, Shun Mashimoto, Daisuke Eto and Hiroshi Wataya
DOI: 10.1002/rcr2.281

A saccular superior vena cava aneurysm is a rare venous aneurysm that presents as mediastinal mass lesions. An evaluation using contrast-enhanced computed tomography is indispensable for the diagnosis.