Carta al Director
Situs inversus asociado a atelectasia pulmonar
Situs Inversus With Pulmonary Atelectasis
Abdullah Şimşek
Chest Diseases Public Hospital, Bursa, Turquía
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"LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001123?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289613003384?idApp=UINPBA00003Z" "url" => "/03002896/0000005100000007/v2_201506280052/S0300289613003384/v2_201506280052/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "<span class="elsevierStyleItalic">Situs inversus</span> asociado a atelectasia pulmonar" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Sr. Director:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "361" "paginaFinal" => "362" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Abdullah Şimşek" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Abdullah" "apellidos" => "Şimşek" "email" => array:1 [ 0 => "abdullahsimsek@yahoo.com.tr" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Chest Diseases Public Hospital, Bursa, Turquía" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Situs Inversus With Pulmonary Atelectasis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 747 "Ancho" => 948 "Tamanyo" => 125287 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomografía computarizada de tórax del paciente revela una atelectasia segmentaria que se extiende desde el lóbulo inferior derecho hasta el lóbulo medio derecho.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">El <span class="elsevierStyleItalic">situs inversus</span> total (SIT) es una enfermedad congénita poco frecuente con una transposición de los órganos torácicos y abdominales<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. El <span class="elsevierStyleItalic">situs inversus</span> (SI) es un defecto congénito, autosómico recesivo cuya incidencia en la población general tan solo es del 0,001 al 0,01%<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>. En general, esta rara anomalía genética se descubre o diagnostica fortuitamente durante una prueba de imagen torácica y abdominal. En el presente artículo se describe un caso con atelectasia pulmonar derecha, observándose el corazón, el bazo y el hígado a la derecha de la línea media.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Un hombre de 46<span class="elsevierStyleHsp" style=""></span>años de edad, no fumador y que no refería molestia alguna, fue derivado a nuestro servicio con una radiografía de tórax anómala que mostraba dextrocardia y una opacidad homogénea en la zona media del pulmón derecho. La tomografía computarizada (TC) de tórax reveló una atelectasia segmentaria, que se extendía desde el lóbulo inferior derecho hasta el lóbulo medio derecho (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). El corazón y el bazo también se observaban a la derecha de la línea media y el hígado se localizaba a la izquierda. Con estos hallazgos, se definió un SIT. La broncoscopia de fibra óptica reveló la ausencia de lóbulo superior en el pulmón derecho, pero es interesante destacar que la estructura del lóbulo superior del pulmón izquierdo era similar a lo habitual, es decir, incluía los 3 segmentos: apical, anterior y posterior. Los resultados del lavado broncoalveolar y de la citología fueron normales. El lavado broncoalveolar y el broncoaspirado fueron negativos para bacilos ácido-alcohol resistentes y el cultivo de Lowenstein para tuberculosis fue negativo. Con 6<span class="elsevierStyleHsp" style=""></span>meses de seguimiento no se observaron cambios clínicos ni radiológicos.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">El SI es una anomalía posicional congénita en la que las vísceras abdominales se desarrollan en una posición incorrecta. El SI es una anomalía poco frecuente, con una proporción varones:mujeres de 3:2<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>. En la lateralidad habitual o <span class="elsevierStyleItalic">situs solitus</span> el pulmón trilobulado, el hígado, la vesícula biliar y otros órganos internos se encuentran a la derecha, mientras que en el SI se localizan a la izquierda. Puede observarse tanto con levocardia como con dextrocardia<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">En el presente caso, el SIT se definió con atelectasia segmentaria del pulmón derecho y del lóbulo superior derecho desarrollado en el área del lóbulo superior izquierdo. Hasta lo que el autor conoce, esta combinación no se ha descrito nunca en los estudios publicados en todo el mundo. Solo en el estudio de Sarkar et al.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> se describía un caso de hipoplasia pulmonar unilateral asociada a <span class="elsevierStyleItalic">situs inversus</span> abdominal en un lactante de 2 meses de edad.</p><p id="par0025" class="elsevierStylePara elsevierViewall">En conclusión, el SI se diagnostica fortuitamente durante una prueba de imagen torácica y abdominal. En estos casos puede observarse atelectasia pulmonar, localizándose el lóbulo superior derecho en el pulmón izquierdo.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicto de intereses</span><p id="par0030" class="elsevierStylePara elsevierViewall">El autor no ha declarado conflicto de intereses.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicto de intereses" ] 1 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 747 "Ancho" => 948 "Tamanyo" => 125287 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomografía computarizada de tórax del paciente revela una atelectasia segmentaria que se extiende desde el lóbulo inferior derecho hasta el lóbulo medio derecho.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Left-sided acute appendicitis with situs inversus totalis: Review of 63 published cases and report of two cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Akbulut" 1 => "A. Caliskan" 2 => "A. Ekin" 3 => "Y. Yagmur" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11605-010-1210-2" "Revista" => array:6 [ "tituloSerie" => "J Gastrointest Surg" "fecha" => "2010" "volumen" => "14" "paginaInicial" => "1422" "paginaFinal" => "1428" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20567931" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Left lower quadrant pain of unusual cause" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.J. Nelson" 1 => "G.R. Pesola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Emerg Med" "fecha" => "2001" "volumen" => "20" "paginaInicial" => "241" "paginaFinal" => "245" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11267811" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute appendicitis in situs inversus totalis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.M. Huang" 1 => "C.C. Yao" 2 => "T.P. Tsai" 3 => "G.W. Hsu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jamcollsurg.2008.03.030" "Revista" => array:5 [ "tituloSerie" => "J Am Coll Surg" "fecha" => "2008" "volumen" => "207" "paginaInicial" => "954" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19183546" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous biliary intervention for primary sclerosing cholangitis in a patient with situs inversus totalis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Küçükay" 1 => "R.S. Ökten" 2 => "T. Cumhur" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Turk J Gastroenterol" "fecha" => "2011" "volumen" => "22" "paginaInicial" => "636" "paginaFinal" => "640" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22287412" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Unilateral pulmonary hypoplasia with abdominal situs inversus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Sarkar" 1 => "R. Mondal" 2 => "M. Nandi" 3 => "N.K. Das" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s12098-011-0667-7" "Revista" => array:6 [ "tituloSerie" => "Indian J Pediatr" "fecha" => "2012" "volumen" => "79" "paginaInicial" => "1360" "paginaFinal" => "1362" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22237637" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005100000007/v2_201506280052/S0300289613003487/v2_201506280052/es/main.assets" "Apartado" => array:4 [ "identificador" => "9222" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Letters to the Director / Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005100000007/v2_201506280052/S0300289613003487/v2_201506280052/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289613003487?idApp=UINPBA00003Z" ]
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| 2018 October | 79 | 22 | 101 |
| 2018 September | 56 | 7 | 63 |
| 2018 August | 1 | 0 | 1 |
| 2018 July | 1 | 0 | 1 |
| 2018 May | 36 | 1 | 37 |
| 2018 April | 65 | 3 | 68 |
| 2018 March | 47 | 3 | 50 |
| 2018 February | 72 | 6 | 78 |
| 2018 January | 116 | 2 | 118 |
| 2017 December | 86 | 7 | 93 |
| 2017 November | 34 | 4 | 38 |
| 2017 October | 41 | 5 | 46 |
| 2017 September | 34 | 4 | 38 |
| 2017 August | 38 | 6 | 44 |
| 2017 July | 31 | 5 | 36 |
| 2017 June | 29 | 15 | 44 |
| 2017 May | 49 | 13 | 62 |
| 2017 April | 25 | 3 | 28 |
| 2017 March | 28 | 2 | 30 |
| 2017 February | 19 | 7 | 26 |
| 2017 January | 13 | 3 | 16 |
| 2016 December | 39 | 7 | 46 |
| 2016 November | 58 | 19 | 77 |
| 2016 October | 66 | 15 | 81 |
| 2016 September | 53 | 16 | 69 |
| 2016 August | 45 | 10 | 55 |
| 2016 July | 63 | 13 | 76 |
| 2016 June | 66 | 13 | 79 |
| 2016 May | 35 | 10 | 45 |
| 2016 April | 46 | 2 | 48 |
| 2016 March | 37 | 2 | 39 |
| 2016 February | 48 | 5 | 53 |
| 2016 January | 39 | 10 | 49 |
| 2015 December | 53 | 15 | 68 |
| 2015 November | 78 | 13 | 91 |
| 2015 October | 86 | 3 | 89 |
| 2015 September | 5 | 0 | 5 |
| 2015 August | 4 | 0 | 4 |
| 2015 July | 14 | 0 | 14 |
| 2015 June | 9 | 0 | 9 |
Show all
