Left Lung, Inferior Lobe, Medial Basal Segment

AbstractObjective:The inhaled sharp foreign body is usually amenable to bronchoscopic extraction. When this fails, management poses a challenge. We present a logical approach to the inhaled pin inaccessible to the bronchoscope.Case report:A 12-year-old girl presented to the accident and emergency unit after accidentally inhaling a pin. Multiple attempts with both rigid and flexible bronchoscopy failed to access the pin, which had lodged distally in the anteromedial basal segment of the left lung. Eventually, the pin was extracted at thoracotomy.Conclusion:We discuss the reasons for extracting such pins, as opposed to leaving them in situ, and when to proceed from endoscopy to open surgery. Such knowledge is useful, not only to guide the multidisciplinary team in their combined approach to this unique challenge, but also to explain to the patient the rationale for the proposed treatment protocol.

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Letters to the Editor

PEDIATRICS ◽

10.1542/peds.39.5.792 ◽

1967 ◽

Vol 39 (5) ◽

pp. 792-792

Author(s):

C. Bozic

Keyword(s):

Case Report ◽

Respiratory Tract ◽

Blood Supply ◽

Left Lung ◽

The Other ◽

Letters To The Editor ◽

Direct Communication ◽

Inferior Lobe ◽

Other Hand

I have read with interest Doctors Adams' and El-Salawy's comments on my case report identified in their letter as the "Lausanne baby." I do think that the "Lausanne baby" represents a case of pulmonary vascular sequestration inasmuch as the inferior lobe of the left lung received its blood supply by means of three arterial branches coming off directly from the aorta. On the other hand, I do not think that the "Lausanne baby" is a case of pulmonary parenchymal sequestration and this because the inferior lobe of the left lung was proven to be, at least to my satisfaction, in direct communication with the remainder of the respiratory tract.

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Pulmonary Nodule in a Patient with Oral and Lung Cancer: Cryptococcus Infection

Dentistry Journal ◽

10.3390/dj7040102 ◽

2019 ◽

Vol 7 (4) ◽

pp. 102

Author(s):

Yamagata ◽

Hirano ◽

Kanno ◽

Uchida ◽

Fukuzawa ◽

...

Keyword(s):

Lung Cancer ◽

Mediastinal Lymph Node ◽

Left Lung ◽

Pulmonary Nodules ◽

Pulmonary Cryptococcosis ◽

Thoracoscopic Resection ◽

Inferior Lobe ◽

Primary Lung Tumors ◽

Oral Cancer Patients ◽

The Right

Pulmonary nodules are frequently considered to be a metastatic disease or primary lung tumors in oral cancer patients. We present a case of pulmonary cryptococcosis in a 68-year-old man with oral and lung cancer. This lung cancer was treated with thoracoscopic resection of the right inferior lobe and mediastinal lymph node dissection. Lower gingival cancer was treated with a mandibulectomy, neck dissection, and reconstruction after chemoradiotherapy. A 20 mm cavitary nodule appeared at the left lung S6 one-month after surgery, during post-operative computed tomography. Thoracoscopic partial resection of the left inferior lobe was performed under the suspicion of lung metastasis. Pathology results revealed a pseudo-epithelial granuloma with necrosis and many yeast-shaped fungi with capsules. A pathological diagnosis of Cryptococcus infection was made. The patient was prescribed the antifungal agent fosfluconazole, which was administered intravenously for 1 week and intraoral fluconazole for 12 months. No recurrence of the Cryptococcus infection has been noted after 1.5 years.

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