array:23 [
  "pii" => "S030028962100226X"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2021.07.012"
  "estado" => "S300"
  "fechaPublicacion" => "2022-07-01"
  "aid" => "2900"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2022;58:563"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289621002337"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.08.015"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "2907"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:564"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Atrioesophageal Fistula&#58; An Uncommon Complication of Atrial Fibrillation Catheter Ablation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "564"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 887
              "Ancho" => 1005
              "Tamanyo" => 95869
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A and B&#41; Contrast-enhanced axial chest computed tomography images obtained with the mediastinal window setting&#44; showing &#40;A&#41; a filling defect inside the left atrium &#40;arrow&#41; compatible with a thrombus and associated with gaseous foci&#44; and &#40;B&#41; an air trajectory compatible with a fistula &#40;arrow&#41; communicating with the esophagus&#44; located to the right of the spine &#40;arrowhead&#41; and the ostium of the left inferior pulmonary vein&#46; In C&#44; oblique reconstruction highlights the anteroposterior fistulous tract &#40;arrow&#41; between the esophagus and left atrium&#46; In D&#44; sagittal minimum-intensity projection reconstruction of an image of the brain reveals signs of leptomeningeal gas embolism&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ant&#244;nio Carlos Portugal Gomes, Augusto Kreling Medeiros, Edson Marchiori"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ant&#244;nio Carlos"
              "apellidos" => "Portugal Gomes"
            ]
            1 => array:2 [
              "nombre" => "Augusto"
              "apellidos" => "Kreling Medeiros"
            ]
            2 => array:2 [
              "nombre" => "Edson"
              "apellidos" => "Marchiori"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002337?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000007/v1_202207020634/S0300289621002337/v1_202207020634/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289622000916"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2022.01.019"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "3022"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2022;58:561-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Mediastinal Thoracic Duct Cyst &#8211; An Unusual Finding"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "561"
          "paginaFinal" => "562"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 556
              "Ancho" => 1305
              "Tamanyo" => 89569
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scan and EBUS-b-FNA&#58; In right para-aortic location&#44; it was observed a nodular area with 17<span class="elsevierStyleHsp" style=""></span>mm short axis described as adenopathy&#44; that was punctured throught echoendoscopy&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sara Moura Cabral, Paulo Matos, Michele De Santis"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Sara Moura"
              "apellidos" => "Cabral"
            ]
            1 => array:2 [
              "nombre" => "Paulo"
              "apellidos" => "Matos"
            ]
            2 => array:2 [
              "nombre" => "Michele De"
              "apellidos" => "Santis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000916?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000007/v1_202207020634/S0300289622000916/v1_202207020634/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "A Hydropneumothorax Captured by M-mode Ultrasonography"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "563"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Maged Hassan"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Maged"
            "apellidos" => "Hassan"
            "email" => array:1 [
              0 => "magedhmf@gmail.com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Chest Diseases Department&#44; Alexandria University Faculty of Medicine&#44; Alexandria&#44; Egypt"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 638
            "Ancho" => 800
            "Tamanyo" => 74882
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A&#58; chest computed tomography scan showing bilateral partially loculated pleural effusions&#46; Panel B&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing rapid and irregular alternation between short runs of barcode sign &#40;yellow arrows&#41; and regions of blackness representing a hydropneumothorax&#46; Panel C&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing regular alternation between the seashore sign &#40;yellow arrowheads&#41; with black effusion representing the expanding and receding aerated upper lobe&#46; Panel D&#58; chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36 year-old male patient was admitted with bilateral pleural effusions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> panel A&#41; and symptoms of chest pain&#44; fever and night sweating&#46; Right-side thoracentesis yielded a straw-coloured aspirate with pH 7&#46;41&#46; He was started on intravenous ampicillin-sulbactam and subsequent fluid results revealed LDH 1006<span class="elsevierStyleHsp" style=""></span>IU&#47;L&#44; glucose 71<span class="elsevierStyleHsp" style=""></span>g&#47;dL and cultures growing <span class="elsevierStyleItalic">Staphylococcus aureus</span> and <span class="elsevierStyleItalic">Klebsiella</span> species&#46; Ultrasound was done on both sides to evaluate the need for chest tube drainage&#46; On the right-side just above the effusion&#44; the &#8216;lung artefact&#8217; appeared to move erratically and asynchronously relative to patient&#39;s breathing &#40;<a class="elsevierStyleCrossRef" href="#sec0020">supplementary video</a>&#41;&#46; This was shown using M-mode ultrasonography &#40;panel B&#41;&#46; In contrast&#44; the lung artefact overlying the left effusion moved regularly and synchronously with breathing as demonstrated by M-mode &#40;panel C&#41;&#46; These findings suggested a right hydropneumothorax which was confirmed on chest radiography &#40;panel D&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The case depicts the hydro-point&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> which is a sign described in B-mode ultrasound examination of hydropneumothorax where an A-type artefact &#40;which could be mistaken for the lung&#41; moves in a way that simulates the movement of liquid in partially filled glass that is shaken&#46; To our knowledge&#44; this is the first report to demonstrate the M-mode appearance of the sign by highlighting the rapid and erratic alternation between barcodes<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> &#40;representing air&#41; and blackness &#40;representing fluid&#41; at the air-fluid level&#46; This is in stark contrast to the regular alternation between the seashore sign&#40;of sliding lung&#41;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> and effusion&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Informed consent</span><p id="par0015" class="elsevierStylePara elsevierViewall">Written informed consent was provided by the person subject of the report&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">No conflict of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Informed consent"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interest"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0030" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#46;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 638
            "Ancho" => 800
            "Tamanyo" => 74882
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A&#58; chest computed tomography scan showing bilateral partially loculated pleural effusions&#46; Panel B&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing rapid and irregular alternation between short runs of barcode sign &#40;yellow arrows&#41; and regions of blackness representing a hydropneumothorax&#46; Panel C&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing regular alternation between the seashore sign &#40;yellow arrowheads&#41; with black effusion representing the expanding and receding aerated upper lobe&#46; Panel D&#58; chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion&#46;</p>"
        ]
      ]
      1 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 1890497
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
    "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" => "Unusual new signs of pneumothorax at lung ultrasound"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46; Volpicelli"
                            1 => "E&#46; Boero"
                            2 => "V&#46; Stefanone"
                            3 => "E&#46; Storti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2036-7902-5-10"
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Ultrasound J"
                        "fecha" => "2013"
                        "volumen" => "5"
                        "paginaInicial" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24355346"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Oveland NP&#46; Pneumothorax&#46; In&#58; Laursen CB&#44; Rahman NM&#44; Volpicelli G&#44; editors&#46; Thoracic ultrasound&#44; Sheffield&#44; United Kingdom&#58; European Respiratory Society&#59; 2018&#44; p&#46; 43&#8211;63&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "93864"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinical Images"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962100226X?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Clinical Image
A Hydropneumothorax Captured by M-mode Ultrasonography
Maged Hassan
Chest Diseases Department, Alexandria University Faculty of Medicine, Alexandria, Egypt
Read
3795
Times
was read the article
1006
Total PDF
2789
Total HTML
Share statistics
 array:23 [
  "pii" => "S030028962100226X"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2021.07.012"
  "estado" => "S300"
  "fechaPublicacion" => "2022-07-01"
  "aid" => "2900"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2022;58:563"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289621002337"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.08.015"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "2907"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:564"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Atrioesophageal Fistula&#58; An Uncommon Complication of Atrial Fibrillation Catheter Ablation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "564"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 887
              "Ancho" => 1005
              "Tamanyo" => 95869
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A and B&#41; Contrast-enhanced axial chest computed tomography images obtained with the mediastinal window setting&#44; showing &#40;A&#41; a filling defect inside the left atrium &#40;arrow&#41; compatible with a thrombus and associated with gaseous foci&#44; and &#40;B&#41; an air trajectory compatible with a fistula &#40;arrow&#41; communicating with the esophagus&#44; located to the right of the spine &#40;arrowhead&#41; and the ostium of the left inferior pulmonary vein&#46; In C&#44; oblique reconstruction highlights the anteroposterior fistulous tract &#40;arrow&#41; between the esophagus and left atrium&#46; In D&#44; sagittal minimum-intensity projection reconstruction of an image of the brain reveals signs of leptomeningeal gas embolism&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ant&#244;nio Carlos Portugal Gomes, Augusto Kreling Medeiros, Edson Marchiori"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ant&#244;nio Carlos"
              "apellidos" => "Portugal Gomes"
            ]
            1 => array:2 [
              "nombre" => "Augusto"
              "apellidos" => "Kreling Medeiros"
            ]
            2 => array:2 [
              "nombre" => "Edson"
              "apellidos" => "Marchiori"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002337?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000007/v1_202207020634/S0300289621002337/v1_202207020634/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289622000916"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2022.01.019"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "3022"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2022;58:561-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Mediastinal Thoracic Duct Cyst &#8211; An Unusual Finding"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "561"
          "paginaFinal" => "562"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 556
              "Ancho" => 1305
              "Tamanyo" => 89569
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scan and EBUS-b-FNA&#58; In right para-aortic location&#44; it was observed a nodular area with 17<span class="elsevierStyleHsp" style=""></span>mm short axis described as adenopathy&#44; that was punctured throught echoendoscopy&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sara Moura Cabral, Paulo Matos, Michele De Santis"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Sara Moura"
              "apellidos" => "Cabral"
            ]
            1 => array:2 [
              "nombre" => "Paulo"
              "apellidos" => "Matos"
            ]
            2 => array:2 [
              "nombre" => "Michele De"
              "apellidos" => "Santis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000916?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000007/v1_202207020634/S0300289622000916/v1_202207020634/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "A Hydropneumothorax Captured by M-mode Ultrasonography"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "563"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Maged Hassan"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Maged"
            "apellidos" => "Hassan"
            "email" => array:1 [
              0 => "magedhmf@gmail.com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Chest Diseases Department&#44; Alexandria University Faculty of Medicine&#44; Alexandria&#44; Egypt"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 638
            "Ancho" => 800
            "Tamanyo" => 74882
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A&#58; chest computed tomography scan showing bilateral partially loculated pleural effusions&#46; Panel B&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing rapid and irregular alternation between short runs of barcode sign &#40;yellow arrows&#41; and regions of blackness representing a hydropneumothorax&#46; Panel C&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing regular alternation between the seashore sign &#40;yellow arrowheads&#41; with black effusion representing the expanding and receding aerated upper lobe&#46; Panel D&#58; chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36 year-old male patient was admitted with bilateral pleural effusions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> panel A&#41; and symptoms of chest pain&#44; fever and night sweating&#46; Right-side thoracentesis yielded a straw-coloured aspirate with pH 7&#46;41&#46; He was started on intravenous ampicillin-sulbactam and subsequent fluid results revealed LDH 1006<span class="elsevierStyleHsp" style=""></span>IU&#47;L&#44; glucose 71<span class="elsevierStyleHsp" style=""></span>g&#47;dL and cultures growing <span class="elsevierStyleItalic">Staphylococcus aureus</span> and <span class="elsevierStyleItalic">Klebsiella</span> species&#46; Ultrasound was done on both sides to evaluate the need for chest tube drainage&#46; On the right-side just above the effusion&#44; the &#8216;lung artefact&#8217; appeared to move erratically and asynchronously relative to patient&#39;s breathing &#40;<a class="elsevierStyleCrossRef" href="#sec0020">supplementary video</a>&#41;&#46; This was shown using M-mode ultrasonography &#40;panel B&#41;&#46; In contrast&#44; the lung artefact overlying the left effusion moved regularly and synchronously with breathing as demonstrated by M-mode &#40;panel C&#41;&#46; These findings suggested a right hydropneumothorax which was confirmed on chest radiography &#40;panel D&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The case depicts the hydro-point&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> which is a sign described in B-mode ultrasound examination of hydropneumothorax where an A-type artefact &#40;which could be mistaken for the lung&#41; moves in a way that simulates the movement of liquid in partially filled glass that is shaken&#46; To our knowledge&#44; this is the first report to demonstrate the M-mode appearance of the sign by highlighting the rapid and erratic alternation between barcodes<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> &#40;representing air&#41; and blackness &#40;representing fluid&#41; at the air-fluid level&#46; This is in stark contrast to the regular alternation between the seashore sign&#40;of sliding lung&#41;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> and effusion&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Informed consent</span><p id="par0015" class="elsevierStylePara elsevierViewall">Written informed consent was provided by the person subject of the report&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">No conflict of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Informed consent"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interest"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0030" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#46;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 638
            "Ancho" => 800
            "Tamanyo" => 74882
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A&#58; chest computed tomography scan showing bilateral partially loculated pleural effusions&#46; Panel B&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing rapid and irregular alternation between short runs of barcode sign &#40;yellow arrows&#41; and regions of blackness representing a hydropneumothorax&#46; Panel C&#58; top half&#58; B-mode image of pleural effusion&#44; underlying consolidated lung and an A-type artefact&#59; bottom half&#58; M-mode image showing regular alternation between the seashore sign &#40;yellow arrowheads&#41; with black effusion representing the expanding and receding aerated upper lobe&#46; Panel D&#58; chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion&#46;</p>"
        ]
      ]
      1 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 1890497
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
    "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" => "Unusual new signs of pneumothorax at lung ultrasound"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46; Volpicelli"
                            1 => "E&#46; Boero"
                            2 => "V&#46; Stefanone"
                            3 => "E&#46; Storti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2036-7902-5-10"
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Ultrasound J"
                        "fecha" => "2013"
                        "volumen" => "5"
                        "paginaInicial" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24355346"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Oveland NP&#46; Pneumothorax&#46; In&#58; Laursen CB&#44; Rahman NM&#44; Volpicelli G&#44; editors&#46; Thoracic ultrasound&#44; Sheffield&#44; United Kingdom&#58; European Respiratory Society&#59; 2018&#44; p&#46; 43&#8211;63&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "93864"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinical Images"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962100226X?idApp=UINPBA00003Z"
]
Article information
ISSN: 03002896
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 October 49 27 76
2024 September 83 27 110
2024 August 100 41 141
2024 July 64 32 96
2024 June 80 28 108
2024 May 74 33 107
2024 April 64 19 83
2024 March 77 17 94
2024 February 83 32 115
2024 January 98 25 123
2023 December 139 32 171
2023 November 112 41 153
2023 October 190 44 234
2023 September 75 48 123
2023 August 54 29 83
2023 July 62 22 84
2023 June 60 19 79
2023 May 71 24 95
2023 April 76 55 131
2023 March 113 49 162
2023 February 98 25 123
2023 January 86 29 115
2022 December 101 38 139
2022 November 94 31 125
2022 October 104 37 141
2022 September 100 32 132
2022 August 103 59 162
2022 July 376 111 487
2022 January 1 0 1
2021 November 1 0 1
2021 September 1 0 1
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?