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INTRODUCTION: Because of its rarity and lack of specific symptoms, the diagnosis of Marfan's syndrome can be delayed. Though cardiovascular, skeletal and ophthalmological manifestations are the most frequent features, the respiratory system can also be involved. OBSERVATION: We report the case of a 35-year-old patient who presented with a large, right sided, encysted pyopneumothorax. The history revealed two episodes of spontaneous pneumothorax, cataract surgery ten years before his admission, and a similar case in the family. Clinical examination showed skeletal abnormalities of the wrist and thumb as well as deformity of the hindfoot with a flat foot. He had no characteristic thoracic deformity. Ophthalmologically, the right eye had a subluxed lens and the left eye had a totally subluxed cataract. CONCLUSION: The development of the third episode of pneumothorax led to the diagnosis of Marfan's syndrome thanks to the patient's combination of symptoms. To avoid diagnostic delay, criteria were established in 1996 and revised in 2010 to ensure an early diagnosis of this condition.
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Síndrome de Marfan/complicaciones , Síndrome de Marfan/diagnóstico , Neumotórax/diagnóstico , Neumotórax/etiología , Adulto , Diagnóstico Diferencial , Humanos , Masculino , RecurrenciaRESUMEN
Tracheobronchial rupture after blunt trauma is rare, especially in a pediatric population. In this paper, we report the case of a 3-year-old child who presented with a rupture of the tracheobronchial tree as a result of multiple injuries (thoracic and cerebral) sustained from a traffic accident. The surgical repair consisted of a sleeve resection (right upper lobectomy with reanastomosis of the bronchus intermedius to the right stem bronchus). As tracheobronchial rupture is a rare condition, particularly in children, physicians must have a high index of suspicion. The diagnosis and treatment of this condition are discussed.
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Accidentes de Tránsito , Bronquios/lesiones , Tráquea/lesiones , Bronquios/cirugía , Broncoscopía , Preescolar , Humanos , Masculino , Traumatismo Múltiple/complicaciones , Neumotórax/diagnóstico por imagen , Neumotórax/etiología , Neumotórax/cirugía , Radiografía , Rotura/etiología , Rotura/cirugía , Toracotomía , Tráquea/cirugía , Heridas no Penetrantes/complicacionesRESUMEN
We report a case of pleural liposarcoma in a 58-year-old male patient with a twenty-year history of smoking, who was admitted for chest pain and chronic cough. Pleural liposarcoma is a rare, highly malignant intrathoracic tumor arising from the soft tissue of the pleural cavity. Chest radiograph and CT scan revealed a homogeneous mass with subtotal opacification of the left hemithorax. Tumor diagnosis was based on histopathological examination of a transparietal biopsy and revealed a mixed type liposarcoma. Surgical resection was performed followed by adjuvant irradiation. No recurrence was diagnosed during the follow-up period of ten months and the patient continues to do well at the time of writing this paper.
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Liposarcoma Mixoide/patología , Cavidad Pleural/patología , Neoplasias Torácicas/patología , Biopsia , Humanos , Liposarcoma Mixoide/radioterapia , Liposarcoma Mixoide/cirugía , Masculino , Persona de Mediana Edad , Cavidad Pleural/cirugía , Radioterapia Adyuvante , Neoplasias Torácicas/radioterapia , Neoplasias Torácicas/cirugía , Toracotomía , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
With the advent of mini-invasive surgery, video-assisted thoracic surgery (VATS) is a good means of diagnosis and therapeutic in thoracic surgery. We report 14 cases of hydatid cyst of the lung treated by VATS. Outcome as uneventful.
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Equinococosis Pulmonar/cirugía , Cirugía Torácica Asistida por Video , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Factores de TiempoRESUMEN
INTRODUCTION: Solitary fibrous tumor of the pleura (TFSP) is rare. When associated with hypoglycemia it is commonly referred to as Doege-Potter syndrome. CASE: A 51-year-old man was hospitalized for recurrent near-syncope associated with hypoglycemia. Clinical examination and then thoracic imaging clearly showed anomalies that corresponded to a mass occupying the entire left hemithorax. After resection, histological analysis diagnosed a fibrous tumor of the pleura. DISCUSSION: Solitary fibrous tumors of the pleura are observed most often in patients aged 50 and 70 years. Hypoglycemia is rare, occurring in approximately 4% of cases. It is explained by the abnormal secretion of a type-II insulin-like growth factor. This tumor is treated by complete surgical excision.
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Coma/etiología , Hipoglucemia/etiología , Neoplasias de Tejido Fibroso/diagnóstico , Neoplasias Pleurales/diagnóstico , Humanos , Hipoglucemia/complicaciones , Masculino , Persona de Mediana Edad , Neoplasias de Tejido Fibroso/cirugía , Neoplasias Pleurales/cirugíaAsunto(s)
Asma/diagnóstico , Carcinoma Adenoide Quístico/diagnóstico , Neoplasias de la Tráquea/diagnóstico , Adulto , Asma/patología , Biopsia , Carcinoma Adenoide Quístico/patología , Errores Diagnósticos , Disnea/etiología , Disnea/patología , Humanos , Masculino , Tráquea/patología , Neoplasias de la Tráquea/patología , Estenosis Traqueal/diagnóstico , Estenosis Traqueal/patologíaRESUMEN
INTRODUCTION: Diaphragmatic hernia or Morgagni-Larrey hernia is a rare entity. Its treatment is surgical and hence raises the question of the surgical approach. OBSERVATIONS: Two patients underwent laparoscopic surgery for Morgagni-Larrey hernia. The first, aged 17 exhibited a chromosomic abnormality (trisomie 21). The second was 18 years old. Both patients underwent surgery by laparoscopy. In both cases, the surgical act performed was resection of the hernia and closure of the orifice with separate sutures. Their post-surgical courses were uneventful, even two years later. COMMENTS: In the age of mini-invasive surgery, laparoscopy is an excellent alternative to laparotomy in this benign pathology.