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Cas cliniques
Benign mediastinal teratoma with intrapulmonary extension presenting with trichoptysis  Envoyer
Publication year: 2009
Source: Respiratory Medicine CME, In Press, Corrected Proof, Available online 22 August 2009
Arshad Altaf, Bachh , Inaamul, Haq , Rahul, Gupta , RamMohan, Boinapally , Sugali, Sudhakar

Mature teratomas are the most common histological type of germ cell tumors, mediastinum being their most common extra-gonadal site of origin. On rare occasions, teratomas rupture or invade adjacent structures such as the pleural space, pericardium, lung or tracheobronchial tree. We report a case of a mediastinal teratoma with intrapulmonary extension, who presented with paroxysmal cough and trichoptysis. Coronal T2-weighted magnetic resonance imaging confirmed a mediastinal mass with heterogeneous signal intensities occupying left antero-superior mediastinum, with extension into the left upper lobe for which lobectomy, and total excision of the tumor and the thymus were performed.
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Lipome endobronchique : apport de l’imagerie. À propos d’un cas  Envoyer
Publication year: 2009
Source: Revue de Pneumologie Clinique, Volume 65, Issue 1, February 2009, Pages 36-39
M., Oury Bah , J., Korzec , A., Khalil , A., Lavole , L., Rosencher , ...

Le lipome endobronchique est une tumeur bronchique bénigne rare qu’il faut savoir rechercher sur les coupes fines tomodensitométriques chez les patients présentant un trouble de ventilation segmentaire (atélectasie ; trappage) ou des infections à répétition. Nous rapportons l’aspect en TDM volumique et en IRM d’un cas de lipome endobronchique lingulaire.Endobronchial lipoma is a rare benign bronchial tumour. A search should be carried out on submillimetre MDCT scan slices in patients presenting segmental or lobar collapse or recurrent pulmonary infection in the same bronchial territories. The authors report MDCT and MR imaging in a patient with endobronchial lipoma discovered on an MDCT...

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La pneumonie varicelleuse : une complication grave de la varicelle chez l’adulte  Envoyer
Publication year: 2009
Source: Revue de Pneumologie Clinique, Volume 65, Issue 1, February 2009, Pages 9-12
A., Abdelghani , S., Slama , A., Hayouni , H., Njima , S., Mezghani , ...

La pneumonie varicelleuse est la complication la plus préoccupante de la varicelle de l’adulte en raison de sa fréquence et de sa gravité. Nous rapportons deux cas de pneumopathie varicelleuse chez deux adultes immunocompétents de 36 et 41ans qui se sont présentés dans un tableau de détresse respiratoire aiguë, n’ayant pas nécessité le recours aux soins intensifs, associé à une éruption cutanée évocatrice de varicelle. L’imagerie thoracique a objectivé des opacités micronodulaires bilatérales associées à un aspect en verre dépoli. Des anomalies biologiques à type de thrombopénie, de cytolyse hépatique et d’une augmentation des lacticodéshydrogénases ont été constatées. Sous traitement...

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Pulmonary hydatid cyst embolization successfully treated with albendazole  Envoyer
Publication year: 2007
Source: Respiratory Medicine Extra, Volume 3, Issue 4, 2007, Pages 192-194
R., Mahouachi , A., Berraies , S., Taktak , A., Chtourou , A., Ben Kheder

The location of echinococcal cysts inside pulmonary artery is extremely rare. We report a case of a 51-year-old patient with known surgical excision for hepatic hydatid cyst 14 years previously. He was admitted for a chest pain and haemoptysis. Angioscan showed multiple echinococcal cysts in both lungs and partial occlusion of a distal branches of the left pulmonary artery by hydatid cyst. CT scan of the abdomen revealed residual cavity in the liver. After medical therapy with albendazole, the patient was free of symptoms 12 months later.
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A patient with chest pain and hemoptysis  Envoyer
Publication year: 2007
Source: Respiratory Medicine Extra, Volume 3, Issue 3, 2007, Pages 105-107
Huck Chin, Chew , Philip, Eng , Sara, Cheo

Glomus tumours are distinctive neoplasms arising in the cells of the glomus body. Histologically they resemble modified smooth muscle cells. It usually occurs over the limbs. However, several unusual sites of occurrence have been described. These include the patella, chest wall, bone, heart, stomach, eyelid, lung, rectum, etc. Tracheal tumours have been described.We discuss a case of glomus tumour arising from the proximal trachea in a 43-year old male with complaints of intermittent hemoptysis and chest pain, and describe resection of this tumour using a rigid bronchoscopic technique.An overview of tracheal glomus tumours is presented.
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