| Case Reports |
Paradoxical cause of weaning failure: Post tracheostomy foreign body causing non-resolving pneumonia with worsening failure to wean
Loveleen Mangla, Sagar Thote, Dhruv Talwar, Deepak Talwar
DOI: 10.1002/rcr.977
We describe a case of broken tracheal cartilage which slipped into the tracheobronchial tree following percutaneous tracheostomy (PCT), impinging and causing collapse of medial basal segment of right lower lobe. Our case highlights a rare complication of PDT leading to weaning failure, irony of situation being that it was done to treat the same. |
A case report of coronavirus disease-2019-induced acute asthma exacerbation in an obese patient
Hisashi Sasaki, Jun Miyata, Ai Kobayashi, Shuichi Kawano, Akihiko Kawana
DOI: 10.1002/rcr.0979
The coronavirus disease-2019 (COVID-19), an emerging infectious disease caused by Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV2), emerged in December 2019 and has spread worldwide. Old age, hypertension, diabetes, and smoking were identified risk factors for aggravation. Obesity also increases the severity and mortality of COVID-19. However, the relationship between asthma and COVID-19 infection remains unclear. We present a rare case of an obese asthmatic patient who experienced asthma exacerbation during COVID-19 infection. |
Hydrofluorocarbons pneumonitis as a complication of inhalation injury following air-conditioning repairs
Afifah Aqilah Abdul Malik, Boon Hau Ng, Nik Nuratiqah Nik Abeed, Mohamed Faisal Abdul Hamid, Andrea Yu-Lin Ban
DOI: 10.1002/rcr.983
Hydrofluorocarbon (HFC) pneumonitis is an uncommon cause of inhalation injury. We report a unique case of acute HFC pneumonitis in a 19-year-old man following an inhalation injury during air-conditioning service in a confined space. |
Endotracheal inflammatory myofibroblastic tumour: A rare cause of central airway occlusion in adults
Albert Iruthiaraj Lourdesamy Anthony, Taranjit Kaur Satnam Singh, Khai Lip Ng, Jamalul Azizi Abdul Rahaman
DOI: 10.1002/rcr.984
We report a case of endotracheal inflammatory myofibroblastic tumour resected using diathermy snaring and debulking via rigid bronchoscopy in a young adult. |
Chronic bronchiectasis complicated with benign jejuno-ileal pneumatosis intestinalis
Sheng-Huan Wei, Li-Ting Huang, Tang-Hsiu Huang
DOI: 10.1002/rcr.985
Chronic bronchiectasis may be complicated with non-ischaemic and non-infectious pneumatosis intestinalis. Clinicians managing patients with bronchiectasis should be alert to such an unusual extrapulmonary complication, because either neglecting the condition or unnecessary exploratory surgery may lead to hazardous outcomes. |
Rare case of cystic anterior mediastinal tuberculosis in an immunocompetent patient
Jessica Butler, Simone Barry
DOI: 10.1002/rcr.987
We report a rare case of a 28-year-old immunocompetent woman found to have a cystic superior anterior mediastinal mass. She underwent surgical resection of the mass and, based on histological appearances of necrotizing granulomatous inflammation and a Gene Xpert™ positive for Mycobacterium tuberculosis complex, she was subsequently commenced on anti-tuberculous therapy. |
Ovarian serous carcinoma in which mediastinal recurrence of the cancer was resected 16 years after surgery: A case report
Hiroyuki Miura, Jun Miura, Shinichi Goto, Tomoko Yamamoto
DOI: 10.1002/rcr.988
We report a case of ovarian serous carcinoma in which a mediastinal recurrence was resected 16 years after the initial operation. |
Atezolizumab in combination with carboplatin plus nab-paclitaxel for managing combined large-cell neuroendocrine carcinoma: A case report
Rei Tsutsumi, Nobutaka Kataoka, Yusuke Kunimatsu, Izumi Sato, Mai Tanimura, Takayuki Nakano, Keiko Tanimura, Takayuki Takeda
DOI: 10.1002/rcr.989
This study reports the case of a patient with combined large-cell neuroendocrine carcinoma (LCNEC) whose symptoms were due to brain metastasis. Because the histological findings of the resected brain tumour and transbronchial biopsy specimen suggested combined LCNEC with a mixture of adenocarcinoma and sarcomatoid components, atezolizumab in combination with carboplatin and nanoparticle albumin-bound (nab)-paclitaxel was selected as the first-line treatment regimen. This treatment resulted in partial response and remained durable for 12 months with an ongoing regimen. |
Antisynthetase syndrome with rare EJ-1 antibodies with antiphospholipid syndrome
Louis Chhor, Steven Tu, Paul Fogarty, Christopher Fong
DOI: 10.1002/rcr.990
To our knowledge, we describe the first case of antisynthetase syndrome with antibodies to anti-glycyl tRNA synthetase (EJ-1) with antiphospholipid syndrome. |
Pleurisy with pneumothorax due to CAM-resistant MAC lung disease
Yoshihisa Nukui, Tatsuo Kawahara, Satoshi Hanzawa
DOI: 10.1002/rcr.993
Here, we describe a case of pleurisy with pneumothorax due to clarithromycin-resistant Mycobacterium avium complex lung disease, which was treated effectively with streptomycin. |
Treatment and outcome of a patient with pleural unilocular cystic mesothelial proliferation
Guoliang Zhang, Rui Wang, Xueying Qiao, Jing Li
DOI: 10.1002/rcr.996
We report an extremely rare case of pleural unilocular cystic mesothelial proliferation in an adult patient that was successfully resected by video-assisted thoracoscopic surgery (VATS). To our knowledge, this is the second case report about pleural unilocular cystic mesothelial proliferation which has been resected by VATS. |
Massive haemoptysis in a woman with left lower lobe pulmonary artery interruption—A rare clinical presentation
Sanjiwika L Wasgewatta, Subash S Heraganahally, Ram H Ghimire, Aijye Lim, Phillip Carson
DOI: 10.1002/rcr.997
Proximal interruption of the pulmonary artery (PIPA) is a rare congenital vascular anomaly with varying presentation. In this report, we describe a middle-aged patient with PIPA presenting with massive haemoptysis with good surgical outcome. |
An endobronchial hamartoma observed using narrow band imaging under saline injection: A case report
Misato Kobayashi, Noriaki Kurimoto, Yuki Mitarai, Takae Okuno, Mika Nakao, Takamasa Hotta, Megumi Hamaguchi, Yukari Tsubata, Takeshi Isobe
DOI: 10.1002/rcr.998
Narrow band imaging (NBI; Olympus Medical Systems, Tokyo, Japan) has been reported to be useful for bronchoscopic diagnosis of endobronchial lesions, particularly for assessing the vascular characteristics of lesions. ‘Light blue crest’ (LBC) observed using NBI with magnifying endoscopy has been reported in the field of gastrointestinal endoscopy. We experienced a case of endobronchial hamartoma in which a light blue line similar to LBC was observed on the surface using NBI under saline injection. |
| Clinical images |
Multiple endotracheal metastases of combined small cell lung carcinoma
Keishi Sugino, Hirotaka Ono, Masahiro Ando, Miho Kobayashi, Seiji Igarashi, Eiyasu Tsuboi
DOI: 10.1002/rcr.986
We report a very rare case of combined small cell lung carcinoma (C-SCLC) which presented as persistent cough and was due to endotracheal metastases. Clinicians should be aware of this unusual site of metastases from a C-SCLC as recognition and treatment improved our patient condition. |
Plombage: A historical image
Sónia da Costa Fernandes, Catarina Patronillo, Catarina Marques
DOI: 10.1002/rcr.991
Plombage is a historical treatment, but it is still possible to find a few patients who have undergone this surgical technique of collapse therapy. |
Broncholith-associated mucus plug mimicking lung cancer
Yoshiaki Hirakawa, Hiroshi Ohnishi, Akihito Yokoyama
DOI: 10.1002/rcr.992
We present a case where a mucus plug caused by bronchial obstruction of a broncholith mimicked lung cancer, and bronchoscopic removal of the broncholith was useful for differential diagnosis. |
