scholarly journals Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis

2007 ◽  
Vol 14 (5) ◽  
pp. 295-297 ◽  
Author(s):  
Chris M Parker ◽  
Robert Nolan ◽  
M Diane Lougheed

Hemoptysis or pneumothorax that recurs with the onset of menses is strongly suggestive of thoracic endometriosis syndrome (TES). TES is a rare disorder, with relatively few cases reported in the literature. A 32-year-old woman with cystic fibrosis, who over a period of several months had experienced recurrent catamenial hemoptysis and pneumothoraces, including an episode of life-threatening hemoptysis that coincided with menstruation, is presented. Thoracic computed tomography and magnetic resonance imaging scans, as well as a bronchosopic evaluation that demonstrated endobronchial lesions that disappeared after menses, support the diagnosis of TES in the present patient. The patient was treated empirically with danazol and subsequently underwent a successful double-lung transplantation. Danazol was discontinued postoperatively, and she was started on an oral contraceptive. Eighteen months post-transplant, she has not experienced a recurrence of her catamenial symptoms, despite having resumed a regular menstrual cycle.

2021 ◽  
Vol 30 (162) ◽  
pp. 210103
Author(s):  
Qianting Lv ◽  
Bernadette B.L.J. Elders ◽  
Adilia Warris ◽  
Daan Caudri ◽  
Pierluigi Ciet ◽  
...  

In people with cystic fibrosis (PwCF), viscous sputum and dysfunction of the mucociliary escalator leads to early and chronic infections. The prevalence of Aspergillus fumigatus in sputum is high in PwCF and the contribution of A. fumigatus to the progression of structural lung disease has been reported. However, overall, relatively little is known about the contribution of A. fumigatus to CF lung disease. More knowledge is needed to aid clinical decisions on whether to start antifungal treatment. In this review, we give an overview of A. fumigatus colonisation and infection in PwCF and the different types of pulmonary disease caused by it. Furthermore, we discuss the current evidence for structural lung damage associated with A. fumigatus in PwCF on chest computed tomography and magnetic resonance imaging. We conclude that radiological outcomes to identify disease caused by A. fumigatus can be important for clinical studies and management.


2010 ◽  
Vol 32 (6) ◽  
pp. 1370-1378 ◽  
Author(s):  
Monika Eichinger ◽  
Claus-Peter Heussel ◽  
Hans-Ulrich Kauczor ◽  
Harm Tiddens ◽  
Michael Puderbach

2014 ◽  
Vol 4 ◽  
pp. 15 ◽  
Author(s):  
Murali Mohan Manchali ◽  
Chandrahasa Sharabu ◽  
Meher Latha ◽  
Leela Kumar

Oropharyngeal teratomas are extremely rare congenital tumors and have an incidence rate of one in 35,000-200,000 newborn babies/neonates. Oropharyngeal teratomas may cause life threatening airway obstruction to a newborn. Early diagnosis with ultrasound and magnetic resonance imaging (MRI) is essential to plan management. Here, we present a rare case of oropharyngeal true teratoma diagnosed with MRI antenatally in a fetus at 34 weeks of gestation in a 25-year-old female who was being evaluated for polyhydraminos. We found MRI to be more helpful for antenatal diagnosis, counseling, and management than ultrasonography and computed tomography (CT).


2014 ◽  
Vol 18 (2) ◽  
Author(s):  
Richard De Villiers

Rugby players often sustain high-impact collisions and are therefore at risk of significant traumatic thoracic injuries. Injury to the thoracic cage may be associated with potentially life-threatening sequelae. Player management is often based on the accuracy of the imaging report. The author suggests a combination of computed tomography and magnetic resonance imaging to optimally evaluate the full spectrum of these potentially serious injuries.


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