Lymph drainage of the superior lobe of the left lung

1983 ◽  
Vol 5 (2) ◽  
pp. 129-135 ◽  
Author(s):  
I. Caplan
Keyword(s):  
Left Lung ◽  
Lymph Drainage ◽  
Superior Lobe

scholarly journals Lung Adenocarcinoma Complicated with a Carcinoid Microtumor: A Case Report and Literature Review

2021 ◽  
Author(s):  
Yanzhao Xu ◽  
Ming he ◽  
Bokang Sun ◽  
Peng Su ◽  
Fan Zhang ◽  
...  
Keyword(s):  
Lung Adenocarcinoma ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Left Lung ◽  
Pulmonary Carcinoid ◽  
Case Presentation ◽  
Inferior Lobe ◽  
Superior Lobe ◽  
Missed Diagnosis

Abstract Background: Adenocarcinoma is the most common primary lung malignant tumor. However, pulmonary carcinoid tumorlets are rare neuroendocrine tumors, and the coexistence of adenocarcinoma and pulmonary carcinoid tumorlets is extremely rare. Herein, we describe a case of lung adenocarcinoma complicated with carcinoid tumorlets.Case presentation: A 71-year-old female patient was admitted to the hospital after physical examination, multiple micronodules were in the inferior lobe of the left lung and right lung for 2 years, and a tumor was in the superior lobe of the left lung for 1 month. The patient underwent resection of the superior lobe of the left lung and wedge resection of the inferior lobe of the left lung by Video-assisted Thoracoscopic Surgery(VATS). The pathology of the superior lobe of the left lung was adenocarcinoma (pathological stage pT1cN0M0, IA3 stage), and the pathology of the inferior lobe of the left lung was carcinoid tumorlets. The patient was discharged from the hospital one week after the operation and recovered well after follow-up without recurrence.Conclusions: The lack of understanding of carcinoid tumorlets in the clinic causes their misdiagnosis or missed diagnosis. At the same time, the lack of understand also suggests that we should pay attention not only to mass-type lung tumors but also to pulmonary micronodules.

scholarly journals Hemoptisis pada Pasien Aspergilloma Paru Kiri

2018 ◽  
Vol 4 (2) ◽  
pp. 38
Author(s):  
Gilang Muhammad Setyo Nugroho ◽  
Laksmi Wulandari
Keyword(s):  
Surgical Therapy ◽  
Lung Tissue ◽  
Physical Condition ◽  
Left Lung ◽  
Fungus Ball ◽  
Good Physical Condition ◽  
Superior Lobe ◽  
Examination Result ◽  
Life Threatening ◽  
History Of

Background: Aspergilloma is a fungus ball (misetoma) that occurs because there is a cavity in the parenchyma due to previous lung disease. This fungus ball can move inside the cavity but does not invate the cavity wall. The presence of fungus ball causes recurrent hemoptysis. Case: We present a 45-year-old female patient with left lung Aspergilloma. Diagnosis of Aspergilloma was based on histopathology from FNAB CT guiding of left pulmonary which showed Aspergillus. Patient was treated with left superior lobe lobectomy at the hospital. The examination result of anatomical patology obtained from lung tissue was aspergillosis, from GeneXpert examination lung tissue showed positive MTB with rifampisin sensitive. Post-operative condition of the patient was stable, surgical wound improved, took off drain patient. There were clinical improvements after the surgery. Discussion: Diagnosis of Aspergilloma was based on clinical, radiology, and microbiology. Aspergilloma with severe symptoms (hemoptysis massive with life-threatening or other complications that require more than 1 time hospitalisation) and good physical condition should undergo surgical therapy in the form of lobectomy in accordance with the extent of lung abnormalities. Patient got first category anti tuberculosis drugs for 6 months and fluconazole for 2 months. Conclusion: It is necessary to consider the suspicion of Aspergillus infection, in patient with history of previous tuberculosis accompanied by a history of recurrent hemoptysis. Patient with reccurent hemoptysis and good physical condition should undergo surgical therapy.

scholarly journals Multimodality imaging of a rare pulmonary artery sessile mass: a case report

2021 ◽  
Author(s):  
Laura Piscitelli ◽  
Ilaria Dentamaro ◽  
Gaetano Pezzicoli ◽  
Carlo D’Agostino
Keyword(s):  
Pulmonary Artery ◽  
Cardiac Mri ◽  
Multimodality Imaging ◽  
Anticoagulation Therapy ◽  
Three Dimensional ◽  
Left Lung ◽  
Laboratory Findings ◽  
Positron Emission ◽  
Superior Lobe ◽  
Magnetic Resonance Imaging Mri

Abstract Background  Primary pulmonary artery masses are unusual entities that mimic pulmonary embolism (PE) in clinical presentation and on imaging studies. It is necessary to perform advanced diagnostic exams, such as transesophageal echocardiography (TEE) and cardiac magnetic resonance imaging (MRI), to determine the proper diagnosis. In unclear cases, laboratory findings, morphological follow-up, and response to anticoagulant therapy can help to clarify the diagnosis. Case summary  A 47-year-old previously healthy man with worsening effort dyspnoea underwent chest computed tomography (CT) for suspicion of PE, which showed a pedunculated eccentric mass at the origin of the pulmonary artery causing severe stenosis. The patient was started on anticoagulation therapy, but, after TEE and cardiac MRI, a neoplastic fibroelastic mass was suspected. Unexpectedly, 18fluorodeoxyglucose (FDG) positron emission tomography (PET)-CT revealed a unique area of glucose uptake in the superior lobe of the left lung and not in the pulmonary artery. The biopsy was consistent with pleomorphic high-grade lung sarcoma. After 3 months of chemotherapy, a CT scan showed progression of the lung disease with no change in the arterial mass, which was therefore confirmed as pulmonary fibroelastoma. Discussion  Due to the rarity of pulmonary artery tumours, they can be initially misdiagnosed as PE or a metastasis of a lung sarcoma. Three-dimensional TEE and cardiac MRI are particularly useful in differentiating tumours from PE.

scholarly journals 1109 Huge aortic aneurysm after surgical repair of coarctation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M M De La Torre Carpente ◽  
B Redondo Bermejo ◽  
T M Perez Sanz ◽  
M A Acuna Lorenzo ◽  
M I Revilla Martinez ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Lung Tissue ◽  
Left Lung ◽  
Aortic Aneurysms ◽  
Coarctation Of Aorta ◽  
Transverse Diameter ◽  
Descending Thoracic Aorta ◽  
Superior Lobe

Abstract A 51-year-old male presented to hospital with hemoptysis. The patient had been diagnosed of coarctation of the aorta and aortic aneurysm distal to the coarctation. In 1998 he underwent surgical correction with a a left subclavian artery bypass to the descending thoracic aorta and the aneurysm was excluded with a dacron graft. He denied hypertension. A thoracic CT performed during this episode, revealed a huge aneurysm in the descending thoracic aorta with a maximal transverse diameter of 13 cm and anteroposterior diameter of 13 cm. The length of the aneurysm was 11.5 cm. Inside the aneurysm there was a big thrombus with several peripheral layers of calcium. The vessel lumen had a diameter of 5.5 cm. The subclavian bypass had no stenosis. The right subclavian artery had an aberrant origen. The aneurysm compressed the left atrium, the left pulmonary artery, left lung tissue and the left main bronchus with a segmentary compressive atelectasis. There was a "ground-glass" pattern in the posterior region of the left superior lobe suggesting pulmonary bleeding. There was no evidence of enlargement of bronchial arteries. Neither were bronchiectasis. Thus, the patient was diagnosed of high suspicion of fistula between aorta and bronchi of the left superior lobe. He was referred to a centre specializing in treatment of coarctation and he was offered a debranching plus TEVAR procedure. Open surgery was not an option due to high risk. The patient refused the intervention. Discussion adults with aortic coarctation should undergo intervention when the gradient across the coarctation is greater than or equal to 20 mmHg and there is hypertension, when there is an altered blood pressure response during exercise or in case of hypertrophic left ventricle. Treatment options are surgery, stent and balloon angioplasty. Complications following intervention include recoarctation, aortic aneurysm, aortic dissection and hypertension. Therefore, it is mandatory to follow up these patients closely and regularly after an intervention either surgical or percutaneous. Digging up in our patient history we found a previous CT in 2009, at that moment transversal diameter of the aneurysm was 9.4 cm and the anteroposterior 12.4 cm. There were no more data after 2009 till 2019. Aortic aneurysms are a rare cause of hemoptysis with a very bad prognosis if not treated. Though CT and MR may suggest that there is a fistula, the aortography is the gold standard technique. Another mechanisms related to hemoptysis are the rupture of small vessels because of the compression of lung tissue or bronchial collapse with subsequent infection. In this case, maybe the big thrombus helped to avoid the rupture of the aneurysm into the left bronchi which would be fatal. Conclusion Patients with repaired coarctation of aorta should be followed regularly, whatever procedure is performed, because some of the complications following repair can have a bad prognosis. Abstract 1109 Figure. hugeaneurysmEuroEcho2019

Lymphedema and lipedema - an overview of conservative treatment

VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 271-279 ◽  
Author(s):  
Wagner
Keyword(s):  
Conservative Treatment ◽  
General Practitioners ◽  
Subcutaneous Tissue ◽  
Compression Therapy ◽  
Compression Stocking ◽  
Lymph Drainage ◽  
Intensive Phase ◽  
Manual Lymph Drainage ◽  
Causal Therapy

Lymphedema and lipedema are chronic progressive disorders for which no causal therapy exists so far. Many general practitioners will rarely see these disorders with the consequence that diagnosis is often delayed. The pathophysiological basis is edematization of the tissues. Lymphedema involves an impairment of lymph drainage with resultant fluid build-up. Lipedema arises from an orthostatic predisposition to edema in pathologically increased subcutaneous tissue. Treatment includes complex physical decongestion by manual lymph drainage and absolutely uncompromising compression therapy whether it is by bandage in the intensive phase to reduce edema or with a flat knit compression stocking to maintain volume.

Dr. Vodder's Manual Lymph Drainage

2010 ◽  
Author(s):  
Hildegard Wittlinger ◽  
Dieter Wittlinger ◽  
Wittlinger ,
Keyword(s):  
Lymph Drainage ◽  
Manual Lymph Drainage
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