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A) nódulo pulmonar, subpleural, en segmento anterior del lóbulo superior derecho. B) nódulos pulmonares en lóbulo inferior izquierdo. (C-F) Imágenes histológicas del nódulo pulmonar resecado durante la cirugía. C) Se observa a la izquierda parénquima pulmonar y algún bronquiolo. A derecha un nódulo constituido por células de aspecto claro a este aumento con ribete linfocítico incompleto (variante de granuloma a cuerpo extraño). D) A mayor aumento se identifica que estas células son de hábito histiocítico y tienen un amplio citoplasma «blanco» esto es, vacío, porque en el procesamiento la silicona se disuelve, dejando el hueco. E) Granuloma a cuerpo extraño en el parénquima pulmonar cerca de una vena. F) A mayor aumento se ven los histiocitos y células gigantes multinucleadas característicos con mayor detalle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Cózar Bernal, Julia González Fernández, Juan Carlos Girón Arjona" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cózar Bernal" ] 1 => array:2 [ "nombre" => "Julia" "apellidos" => "González Fernández" ] 2 => array:2 [ "nombre" => "Juan Carlos" "apellidos" => "Girón Arjona" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921003876" "doi" => "10.1016/j.arbr.2021.10.013" "estado" => "S200" "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/S1579212921003876?idApp=UINPBA00003Z" ] ] "EPUB" => 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"en" => array:1 [ "titulo" => "Bronchial Rupture Secondary to Placing a Drainage" ] ] "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" => 766 "Ancho" => 901 "Tamanyo" => 54593 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Punta de drenaje pleural a nivel de tercio superior de la tráquea.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María del Carmen Vera Sanchez, Manuel Blanco Diaz, Jose Luis Velasco Garrido" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María del Carmen" "apellidos" => "Vera Sanchez" ] 1 => array:2 [ "nombre" => "Manuel" "apellidos" => "Blanco Diaz" ] 2 => array:2 [ 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"identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Manuel" "apellidos" => "Blanco Diaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Jose Luis" "apellidos" => "Velasco Garrido" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Virgen de la Victoria, Málaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Universitario Virgen de la Victoria, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rotura bronquial secundaria a la colocación de un drenaje pleural" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 766 "Ancho" => 901 "Tamanyo" => 54593 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest tube tip in the upper third of the trachea.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 64-year-old patient who presented with spontaneous left pneumothorax. Local anesthesia was applied to the area and a small-bore 10F Pleurocath chest tube was placed in the 7th intercostal space in the axillary line. During the procedure, the patient developed sinus tachycardia and hypotension associated with severe rib pain. A chest X-ray was performed after the procedure that revealed the tip of the catheter in the trachea. Bronchoscopy was performed to confirm the location. As can be seen in the video, the chest tube ruptured a subsegmental B8 bronchus and ascended through the lower lobar bronchus, the left main bronchus and the trachea until the tip of the catheter was observed in the upper third of the trachea just below the vocal cords (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The chest tube was removed under endoscopic control, causing minor bleeding that was managed by instillation of diluted topical adrenaline. A new small-bore chest tube was then placed, and the pneumothorax resolved.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The most frequent complications of pleural drainage are inappropriate placement, infections, lung perforation, and bleeding from rupture of intercostal vessels. Bronchial rupture due to the placement of a pleural drainage is a very rare complication that has not been described in the literature<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vera Sanchez MdC, Blanco Diaz M, Velasco Garrido JL. Bronchial Rupture Secondary to Placing a Drainage. Arch Bronconeumol. 2022;58:82.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 766 "Ancho" => 901 "Tamanyo" => 54593 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest tube tip in the upper third of the trachea.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 7946730 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Errors and complications in chest tube placement" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.L. Filosso" 1 => "F. Guerrera" 2 => "A. Sandri" 3 => "M. Roffinella" 4 => "P. Solidoro" 5 => "E. Ruffini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.thorsurg.2016.08.009" "Revista" => array:6 [ "tituloSerie" => "Thorac Surg Clin." "fecha" => "2017" "volumen" => "27" "paginaInicial" => "57" "paginaFinal" => "67" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27865328" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Modern techniques to insert chest drains" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.J. McElnay" 1 => "E. Lim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.thorsurg.2016.08.005" "Revista" => array:6 [ "tituloSerie" => "Thorac Surg Clin." "fecha" => "2017" "volumen" => "27" "paginaInicial" => "29" "paginaFinal" => "34" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27865324" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000001/v1_202201130549/S030028962100404X/v1_202201130549/en/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000001/v1_202201130549/S030028962100404X/v1_202201130549/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962100404X?idApp=UINPBA00003Z" ]
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