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Neumotórax asociado a quistes pulmonares y masas renales
Pneumothorax related to lung cysts and renal masses
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During VATS, subpleural cysts in the lung parenchyma were noted (C).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jorge Luiz Pereira e Silva, Cesar Augusto Araujo Neto, Edson Marchiori" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jorge Luiz" "apellidos" => "Pereira e Silva" ] 1 => array:2 [ "nombre" => "Cesar Augusto" "apellidos" => "Araujo Neto" ] 2 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289615001295" "doi" => "10.1016/j.arbres.2015.02.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001295?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001470?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915001470/v1_201601300120/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0300289615000897" "issn" => "03002896" "doi" => "10.1016/j.arbres.2014.07.016" "estado" => "S300" "fechaPublicacion" => "2016-02-01" "aid" => "1140" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Arch Bronconeumol. 2016;52:107" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2288 "formatos" => array:3 [ "EPUB" => 95 "HTML" => 1622 "PDF" => 571 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Aportación del bloque celular obtenido por ecobroncoscopia al diagnóstico de adenopatías y masas hiliares o mediastínicas" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "107" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The Contribution of Cell Blocks in the Diagnosis of Mediastinal Masses and Hilar Adenopathy Samples from Echobronchoscopy" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Franco Serrano, Enric Burés Sales" "autores" => array:2 [ 0 => array:2 [ "nombre" => "José" "apellidos" => "Franco Serrano" ] 1 => array:2 [ "nombre" => "Enric" "apellidos" => "Burés Sales" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915004322" "doi" => "10.1016/j.arbr.2015.12.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915004322?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615000897?idApp=UINPBA00003Z" "url" => "/03002896/0000005200000002/v1_201601280037/S0300289615000897/v1_201601280037/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0300289614004517" "issn" => "03002896" "doi" => "10.1016/j.arbres.2014.10.010" "estado" => "S300" "fechaPublicacion" => "2016-02-01" "aid" => "1085" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:104-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3298 "formatos" => array:3 [ "EPUB" => 102 "HTML" => 2561 "PDF" => 635 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Neumomediastino y enfisema subcutáneo secundarios a extracción dental. Una complicación poco frecuente" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "104" "paginaFinal" => "105" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pneumomediastinum and subcutaneous emphysema: A rare complication of dental extraction" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "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" => 1229 "Ancho" => 1300 "Tamanyo" => 201010 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Enfisema subcutáneo de extensión cérvico-facial disecando incluso planos cervicales profundos (fosa pterigoidea y espacios submandibular, masticador, retrofaríngeo, parafaríngeo y carotídeo izquierdos). B) Neumomediastino por extensión hacia mediastino superior (rodea tráquea, troncos supraaórticos y estructuras adyacentes) y anterior (delante del saco pericárdico y zona de salida de los grandes vasos).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Reyes Mañas Vera, Ramón Lara Rosales, Araceli Sánchez González" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M. 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Durante la CTAV se observaron quistes subpleurales en el parénquima pulmonar (C).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Una mujer de 52 años de edad acudió a la consulta por presentar dolor en el hemitórax derecho y disnea de inicio repentino. Con anterioridad, la paciente había padecido 2 episodios de neumotórax espontáneo. La tomografía computarizada (TC) de alta resolución reveló la presencia de un neumotórax derecho, numerosos quistes de paredes finas en ambos pulmones (<a class="elsevierStyleCrossRef" href="#fig0005">figs. 1</a>A y B) y, también, masas renales bilaterales. Se practicó cirugía toracoscópica asistida por vídeo (CTAV) con bullectomía (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>C) y pleurodesis y, 2 años más tarde, la paciente continuaba asintomática.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Los quistes pulmonares fueron compatibles con linfangioleiomiomatosis (LAM) y los resultados del examen histológico de las masas renales indicaron la presencia de angiomiolipomas. Dadas estas características se diagnosticó un complejo de esclerosis tuberosa (CET).</p><p id="par0015" class="elsevierStylePara elsevierViewall">El CET es una enfermedad autosómica dominante caracterizada por la formación de hamartomas en diversos sistemas orgánicos. El diagnóstico definitivo de CET se establece cuando el paciente presenta 2 criterios diagnósticos mayores (LAM, angiomiolipoma renal, tuberosidades corticales, angiofibroma facial, hamartomas retinianos, parche de Shagreen, nódulo subependimario o fibromas ungueales entre otras) o un criterio diagnóstico mayor y 2 menores<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">El espectro clínico del CET es amplio, y la clínica es mínima en muchos pacientes. En pacientes con CET, la LAM se asocia a lesiones pulmonares quísticas difusas, siendo el neumotórax una complicación bien conocida. La CTAV puede contribuir notablemente al diagnóstico y el tratamiento de esta enfermedad<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">,2</span></a>.</p></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" => 1073 "Ancho" => 995 "Tamanyo" => 161817 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las imágenes reformateadas de los planos coronal (A) y sagital (B) de la TC muestran numerosos quistes bilaterales de paredes finas y tamaño variable (algunos subpleurales) y neumotórax derecho, compatibles con linfangioleiomiomatosis. Durante la CTAV se observaron quistes subpleurales en el parénquima pulmonar (C).</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" => "Tuberous sclerosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Curatolo" 1 => "R. Bombardieri" 2 => "S. Jozwiak" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(08)61279-9" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "2008" "volumen" => "372" "paginaInicial" => "657" "paginaFinal" => "668" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18722871" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The tuberous sclerosis complex" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.B. Crino" 1 => "K.L. Nathanson" 2 => "E.P. Henske" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMra055323" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2006" "volumen" => "355" "paginaInicial" => "1345" "paginaFinal" => "1356" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17005952" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005200000002/v1_201601280037/S0300289615001295/v1_201601280037/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/03002896/0000005200000002/v1_201601280037/S0300289615001295/v1_201601280037/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001295?idApp=UINPBA00003Z" ]
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