Publish in this journal
Journal Information
Vol. 50. Issue 5.
Pages 204 (May 2014)
Vol. 50. Issue 5.
Pages 204 (May 2014)
Clinical Image
DOI: 10.1016/j.arbr.2014.03.011
Full text access
Hydropneumothorax in a Patient With Bullous Emphysema
Hidroneumotórax en paciente con enfisema bulloso
Visits
...
Jessica Ruiz Izquierdo??
Corresponding author
jessika.ruiz8@gmail.com

Corresponding author.
, Javier Ramos Lázaro, Isabel González Prieto
Servicio de Medicina Interna, Hospital de l’Esperit Sant, Santa Coloma de Gramenet, Barcelona, Spain
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 31-year-old woman from Pakistan with no significant clinical history consulted due to pleuritic pain of two days duration in the left hemithorax, radiating to the ipsilateral flank with mild hemoptysis. On arrival in the emergency room, she had 38° fever and chills. On auscultation, reduced breath sounds were found on the left side, and accordingly a chest X-ray was performed (Fig. 1, see figure legend).

Fig. 1.

Standard posteroanterior chest X-ray. Right mediastinal shift including heart, loss of bronchovascular markings in the left lung field, suggestive of a large bulla and left apical pneumothorax. Images of cysts with air-fluid level left basal region.

(0.06MB).

In view of the radiological image, the chest surgery unit of the reference center was contacted and an angio-CT was performed. This showed voluminous bullae and cystic lesions in the left hemithorax of up to 20cm in diameter, with atelectasis of the pulmonary parenchyma, patent bronchi and air-fluid level in the left pleural space, and left anterior and basal pneumothorax; the right lung showed small subpleural nodules measuring less than 1cm in upper and lower lobes and normal pleural cavity.

A pre-surgical spirometry was performed with the following results: FVC: 1860 (50%), FEV1: 1.43 (47.7%), RV: 2980 (214%), DLCO/VA: 1260 (63.1). Tiffeneau index 0.79; FEV1/FVC: 0.79. Severe non-obstructive ventilatory changes with signs of air trapping.

The bullous complex was subsequently resected using left videothoracoscopy with pleural drainage. The pathology report was negative for malignancy.

Please cite this article as: Ruiz Izquierdo J, Ramos Lázaro J, González Prieto I. Hidroneumotórax en paciente con enfisema bulloso. Arch Bronconeumol. 2014;50:204.

Copyright © 2013. SEPAR
Idiomas
Archivos de Bronconeumología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.