array:23 [ "pii" => "S0300289624000450" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.02.006" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "3486" "copyright" => "SEPAR" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:304-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289624000528" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.02.012" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "3492" "copyright" => "The Authors" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:306-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Endobronchial High-Grade Non-Hodgkin B-Cell Lymphoma Mimicking Small Cell Lung Cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "306" "paginaFinal" => "307" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 640 "Ancho" => 1233 "Tamanyo" => 147372 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Mass on axial view on pulmonary windowing (A, red arrow) and mediastinal enlarged lymph node stations (7 and 4R) on axial view on Positron Emission Tomography CT-scan showing a high avidity for fluorodeoxyglucose-F18 tracer (B, color). Endobronchial implants located at the distal <span class="elsevierStyleItalic">pars membranacea</span> of the trachea, main carina and main bronchi (C, blue arrows) treated by laser Argon-Beamer (D, blue arrows). Endobronchial samplings with solid growth neoplasm infiltrating the bronchial mucosa, made up of medium-sized cells, with moderately pleomorphic and hyperchromatic nuclei (E, hematoxylin–eosin staining 400×). Neoplastic cells express B-lineage marker CD20 (F). The diagnosis of B-cell lymphoma was also confirmed by molecular analysis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luca Sardella, Elisabetta Merlo, Alessio Casutt" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luca" "apellidos" => "Sardella" ] 1 => array:2 [ "nombre" => "Elisabetta" "apellidos" => "Merlo" ] 2 => array:2 [ "nombre" => "Alessio" "apellidos" => "Casutt" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000528?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000005/v1_202405030736/S0300289624000528/v1_202405030736/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289624000449" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.02.005" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "3485" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:302-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Thoracic Amyloidosis – A Respiratory Conundrum" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "302" "paginaFinal" => "303" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 964 "Ancho" => 1674 "Tamanyo" => 240924 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Coronal computed tomography image in soft-tissue windows showed striking peripherally calcified mediastinal and hilar lymphadenopathy. Mediastinal lymphadenopathy is usually a feature of systemic as opposed to localised disease, as demonstrated here. (B) Volume-rendered three-dimensional reconstructions highlight the extent of the lymphadenopathy shaded in blue. (C) Lung windows highlight the varied features of pulmonary parenchymal amyloidosis including septal involvement, in the form of interlobular septal thickening (<span class="elsevierStyleItalic">arrows</span>), parenchymal nodules or amyloidomas (arrowheads), peri-lymphatic calcified nodules (<span class="elsevierStyleItalic">dotted arrows</span>). (D) The patient was offered endobronchial stenting of his left main bronchus, which alleviated the symptoms greatly. (E) Mediastinal lymph node biopsy specimen obtained via endobronchial ultrasound (EBUS) demonstrates acellular deposits which appeared cyanophilic on Papanicolau's stain and eosinophilic on haematoxylin and eosin (H&E) stain. When stained with Congo red, it exhibited apple-green birefringence under polarised light characteristic of amyloidosis (the image was not available for publication).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mohamed Tofeig, Gregory Cross, Monika Radike" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Mohamed" "apellidos" => "Tofeig" ] 1 => array:2 [ "nombre" => "Gregory" "apellidos" => "Cross" ] 2 => array:2 [ "nombre" => "Monika" "apellidos" => "Radike" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000449?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000005/v1_202405030736/S0300289624000449/v1_202405030736/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Delayed Presentation of Traumatic Diaphragmatic Rupture With Hemothorax" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "304" "paginaFinal" => "305" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ayla Buyukkaya, Ramazan Buyukkaya" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Ayla" "apellidos" => "Buyukkaya" "email" => array:1 [ 0 => "rabuyukkaya@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Ramazan" "apellidos" => "Buyukkaya" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, USA" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cappadocia Private Hospital, Department of Radiology, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 378 "Ancho" => 1200 "Tamanyo" => 80219 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracoabdominal sagittal (A), coronal (B), axial (C) CT; massive hemothorax (*) in the left pleural cavity, contour irregularity on the diaphragm surface and the appearance of diaphragm hematoma (H) are observed. Additionally, pancreas mass (black arrow) and adjacent spleen (S) metastasis (white arrow) are seen.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Traumatic diaphragmatic ruptures are rare clinical conditions that are often challenging to detect, with a likelihood of being missed in approximately 90% of cases presenting to emergency clinics after trauma.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A 67-year-old male patient presented with respiratory distress, and investigations revealed massive hemothorax in the left pleural cavity. It was later discovered through detailed questioning that the patient had been in a non-traffic-related accident six months prior, which he had not reported initially. CT and ultrasound examinations showed irregular contours on the diaphragm surface and signs of diaphragmatic hematoma. Additionally, splenosis in the tail of the pancreas, a pancreatic mass below it, and metastasis in the adjacent spleen were observed. Due to continuous decreases in hematocrit values, the patient underwent surgery, confirming spleen and diaphragmatic injuries (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">This case underscores the diagnostic challenges of traumatic diaphragmatic ruptures and the complications that can manifest over time. Delayed massive hemothorax can be a crucial indicator of traumatic injuries, emphasizing the importance of thorough post-trauma assessment and active utilization of imaging modalities. The case also highlights the significance of considering diaphragmatic injuries in the differential diagnosis, especially when patients present with complications such as delayed hemothorax.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 378 "Ancho" => 1200 "Tamanyo" => 80219 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracoabdominal sagittal (A), coronal (B), axial (C) CT; massive hemothorax (*) in the left pleural cavity, contour irregularity on the diaphragm surface and the appearance of diaphragm hematoma (H) are observed. Additionally, pancreas mass (black arrow) and adjacent spleen (S) metastasis (white arrow) are seen.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A review on delayed presentation of diaphragmatic rupture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Rashid" 1 => "M.M. Chakrabarty" 2 => "R. Singh" 3 => "S.Y. Iftikhar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1749-7922-4-32" "Revista" => array:5 [ "tituloSerie" => "World J Emerg Surg" "fecha" => "2009" "volumen" => "4" "paginaInicial" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19698091" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic rupture of the diaphragm: experience with 65 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Mihos" 1 => "K. Potaris" 2 => "J. Gakidis" 3 => "J. Paraskevopoulos" 4 => "P. Varvatsoulis" 5 => "B. Gougoutas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Injury" "fecha" => "2003" "volumen" => "34" "paginaInicial" => "169" "paginaFinal" => "172" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000005/v1_202405030736/S0300289624000450/v1_202405030736/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000005/v1_202405030736/S0300289624000450/v1_202405030736/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000450?idApp=UINPBA00003Z" ]
Journal Information
Vol. 60. Issue 5.
Pages 304-305 (May 2024)
Vol. 60. Issue 5.
Pages 304-305 (May 2024)
Clinical Image
Delayed Presentation of Traumatic Diaphragmatic Rupture With Hemothorax
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