Imagen clínica
Oleotórax bilateral
Bilateral Oleothorax
Cristina López Riolobos
, Enrique Zamora García, Elena García Castillo
Corresponding author
Servicio de Neumología, Hospital Universitario de la Princesa, Madrid, España
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class="elsevierStyleSimplePara elsevierViewall">Radiografía simple de tórax posteroanterior. Aumento de densidad en ambos vértices pulmonares, secundario a oleotórax bilateral como tratamiento de la tuberculosis pulmonar.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de un paciente varón de 87 años, con antecedentes de tuberculosis pulmonar en su juventud, que se trató con colapsoterapia bilateral con aceite (oleotórax)<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>, que provocó con el desarrollo de los años una alteración ventilatoria restrictiva con insuficiencia respiratoria hipercápnica. Precisó varios ingresos hospitalarios hasta iniciar ventilación no invasora<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> durante el sueño. El paciente ha permanecido en seguimiento en nuestras consultas con buen cumplimiento terapéutico y escasas descompensaciones.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Los procedimientos quirúrgicos utilizados para el tratamiento de la tuberculosis se dividen en la actuación directa sobre las lesiones pulmonares (exéresis o cavernostomía) y los métodos que buscan el colapso de las cavernas del vértice pulmonar. Entre estos últimos cabe citar la toracoplastia, que consiste en estrechar la pared torácica mediante la resección de varios segmentos costales, la frenicoparálisis y la introducción de aire (neumotórax) o aceite (oleotórax) en la cavidad pleural o en el espacio extrapleural.</p><p id="par0015" class="elsevierStylePara elsevierViewall">La cirugía de la tuberculosis tuvo un gran auge desde finales del siglo <span class="elsevierStyleSmallCaps">XIX</span> hasta mediados del siglo <span class="elsevierStyleSmallCaps">XX</span>, momento en el que el desarrollo de los fármacos antituberculosos y sus combinaciones marginaron estas técnicas (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "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" => 550 "Ancho" => 550 "Tamanyo" => 46257 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiografía simple de tórax posteroanterior. Aumento de densidad en ambos vértices pulmonares, secundario a oleotórax bilateral como tratamiento de la tuberculosis pulmonar.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Apuntes históricos sobre la cirugía de la tuberculosis pulmonar en el siglo XX" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Vara Cuadrado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Patol Respir" "fecha" => "2005" "volumen" => "8" "paginaInicial" => "3" "paginaFinal" => "16" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventilación mecánica no invasiva en una población anciana que ingresa en unidad de monitorización respiratoria, causas, complicaciones y evolución al año de seguimiento" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Segrelles Calvo" 1 => "E. Zamora García" 2 => "R. Girón Moreno" 3 => "E. Vázquez Espinosa" 4 => "R.M. Gómez Punter" 5 => "G. Fernandes Vasconcelos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2012.05.001" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol." "fecha" => "2012" "volumen" => "48" "paginaInicial" => "349" "paginaFinal" => "354" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22705258" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005200000004/v1_201603270531/S030028961500054X/v1_201603270531/es/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005200000004/v1_201603270531/S030028961500054X/v1_201603270531/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961500054X?idApp=UINPBA00003Z" ]
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