Respirology Case Reorts

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January 2020
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Case Series
Human herpesvirus 8-related primary effusion lymphoma in four HIV-uninfected patients without organ transplantation
Hung-I Kuo, Yu-Ting Yu, Kung-Chao Chang, Po-Lan Su, Sin-Syue Li, Tang-Hsiu Huang
DOI: 10.1002/rcr2.508

Primary effusion lymphoma has a predilection for body cavities and is closely related to human herpesvirus 8. We provide a detailed report of this rare non-Hodgkin's lymphoma in four patients all without known history of acquired immunodeficiency.

Case Reports
Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
William Grier, Or Kalchiem-Dekel, Jean Jeudy, Van Holden, Ashutosh Sachdeva, Edward Pickering
DOI: 10.1002/rcr2.497

Haemothorax following an endobronchial ultrasound-guided guided transbronchial needle aspiration (EBUS-TBNA) as a result of bronchial artery laceration resolved with small-bore chest tube drainage.

Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy
Satoshi Terashita, Hiroaki Kawachi, Tomoko Tajiri, Susumu Noguchi, Tatsuyoshi Ikeue, Takakazu Sugita
DOI: 10.1002/rcr2.498

Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of multiloculated pleural effusions seem to be convenient. Moreover, the fibrinolytic effect occurs very rapidly. This procedure may expand the diagnostic capability of medical thoracoscopy.

Tracheal granular cell tumour presenting with throat discomfort
Kensuke Nakagawara, Mamoru Sasaki, Shojiroh Morinaga, Naoto Minematsu
DOI: 10.1002/rcr2.499

We report a rare case of tracheal granular cell tumours (GCT) presenting with throat discomfort as an initial symptom. While the symptom was atypical for a tracheal tumour, an early laryngoscopy and bronchoscopy led to the correct diagnosis.

Extensive bronchial occlusion with N-butyl-2-cyanoacrylate for bronchopleural fistula and a destroyed lung
Yasunori Kaminuma, Masayuki Tanahashi, Eriko Suzuki, Naoko Yoshii, Hiroshi Niwa
DOI: 10.1002/rcr2.500

Here, we report a case of chronic empyema with bronchopleural fistula and destroyed lung in which bronchial occlusion with N-butyl-2-cyanoacrylate and lipiodol resulted in the improvement of respiratory distress and recurrent pneumonia.

Relapsing polychondritis with large airway involvement
Christiaan Yu, Simon A Joosten
DOI: 10.1002/rcr2.501

Relapsing polychondritis is a rare, life-threatening, autoimmune condition. We present a previously undescribed occurrence of relapsing polychondritis with acute large airway involvement requiring short-term positive airway pressure therapy in the context of a respiratory viral infection.

Isolated laryngeal sarcoidosis
Aslan Ahmadi, Fatemeh Dehghani Firouzabadi, Mohammad Dehghani Firouzabadi, Maryam Roomiani
DOI: 10.1002/rcr2.502

To improve diagnosis and treatment of laryngeal sarcoidosis, we present a rare case of upper airway obstruction of unclear aetiology, with life-threatening complication in a 19-year-old boy.

Pleural cryobiopsy during local anaesthetic thoracoscopy in dry pleural dissemination
Ayn Marie Lao, Yuji Matsumoto, Midori Tanaka, Takafumi Matsunaga, Shinji Sasada, Takaaki Tsuchida
DOI: 10.1002/rcr2.503

A diagnosed case of primary non–small-cell carcinoma in an 85-year-old female with dry pleural dissemination with low fluoro-deoxyglucose uptake. Metastatic carcinomatous pleuritis was subsequently confirmed with the aide of pleural cryobiopsy. Local anaesthetic thoracoscopy with pleural cryobiopsy can be safely performed even without effusion with the aide of real-time transthoracic ultrasound.

Successful treatment of post-operative peripheral bronchopleural fistulas using endobronchial Watanabe spigots
Shinichi Yamamoto, Masaya Sogabe, Hideki Negishi, Sayaka Mitsuda, Tomoki Shibano, Shunsuke Endo
DOI: 10.1002/rcr2.504

A 70-year-old man who developed a post-operative peripheral bronchopleural fistulas (BPF) after a left upper lobectomy. Bronchial occlusion with endobronchial Watanabe spigots (EWS) was performed because the target bronchi responsible for BPF were clearly detected by a chest computerized tomography scan. The effectiveness of the occlusion was confirmed with the use of a digital drainage system immediately after the procedure was completed.

An enlarged azygos vein traversing an azygos lobe reveals a connection between the inferior vena cava and azygos vein
Hiroyuki Miura, Shinichi Goto, Jun Miura, Keisei Tachibana, Ryota Tanaka, Haruhiko Kondo
DOI: 10.1002/rcr2.506

We report a rare case of the inferior vena cava connecting to the azygos, in a 16-year-old male patient who presented with an abnormal shadow on chest X-ray. The azygos vein was enlarged and ran through an azygos fissure, inviting the diagnosis.

Bronchoscopic management of haemoptysis due to endobronchial metastasis of papillary thyroid carcinoma
Stephen J Kuperberg, Daniel C Mockler, Andrzej Kudelka
DOI: 10.1002/rcr2.509

Endobronchial disease secondary to metastatic thyroid cancer may lead to airway obstruction and result in haemoptysis. We describe a rare case of metastatic papillary thyroid carcinoma resulting in endobronchial involvement diagnosed by bronchoscopic biopsy, and successfully managed with argon plasma coagulation ablation.

Subclinical community-acquired Acinetobacter pneumonia associated with mature cystic teratoma masquerading as lung abscess
Sai-on Ling, Pak-yuen, Anthony Yau, Hoi-yee Kwan, Chie-wai Yim, Yik-ning Poon, Thomas Mok
DOI: 10.1002/rcr2.510

We hereby report a case of subclinical community-acquired Acinetobacter pneumonia in association with a mature cystic teratoma masquerading as a lung abscess.

Clinical Image
Endobronchial lipoma: a rare cause of subsegmental bronchial obstruction
Pavel V Pavlov, Andrey P Kiryukhin, Kirill B Puzakov, Ramin T Rzayev, Aleksandr A Derinovbr>DOI: 10.1002/rcr2.505

Endobronchial lipoma is benign lung tumor with an incidence of less 1% of all lung neoplasms. The case of 72-year-old man is presented with endobronchial lipoma arising from a-subsegment of the left posterior basal segment (LB10a).

Index

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