Clinical Image
Multiple Giant Diverticula of the Bronchus
Divertículos bronquiales gigantes múltiples
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=> array:2 [ "nombre" => "Pablo" "apellidos" => "Álvarez-Maldonado" ] 1 => array:2 [ "nombre" => "Edgar" "apellidos" => "Bautista-Bautista" ] 2 => array:2 [ "nombre" => "Víctor" "apellidos" => "Huizar-Hernández" ] 3 => array:2 [ "nombre" => "Roberto" "apellidos" => "Mercado-Longoria" ] 4 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Cueto-Robledo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289614000295" "doi" => "10.1016/j.arbres.2013.12.009" "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/S0300289614000295?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915000440?idApp=UINPBA00003Z" "url" => 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Correlation Between Optical Bronchoscopy-Computed Tomography Virtual Bronchoscopy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "355" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Torsión del lóbulo medio poslobectomía. Correlación de broncoscopia óptica-broncoscopia virtual con tomografía computarizada" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 704 "Ancho" => 800 "Tamanyo" => 96945 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Extensive consolidation of the middle lobe can be observed, containing air bubbles (A), and distortion of the right bronchial anatomy (B). Correlation between virtual reconstruction and optical bronchoscopy showing tapering of the airway lumen of the middle lobe bronchus (C and D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Carolina Gutiérrez Ramírez, Daniel Rodríguez Sánchez, José Antonio Ros Lucas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María Carolina" "apellidos" => "Gutiérrez Ramírez" ] 1 => array:2 [ "nombre" => "Daniel" "apellidos" => "Rodríguez Sánchez" ] 2 => array:2 [ "nombre" => "José Antonio" "apellidos" => "Ros Lucas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289614002294" "doi" => "10.1016/j.arbres.2014.06.007" "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/S0300289614002294?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001408?idApp=UINPBA00003Z" "url" => "/15792129/0000005100000007/v1_201506250123/S1579212915001408/v1_201506250123/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Multiple Giant Diverticula of the Bronchus" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "356" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Laura Orazi, Graciela Noemí Svetliza, Eduardo Luis de Vito, Juan Arturo Precerutti" "autores" => array:4 [ 0 => array:4 [ "nombre" => "María Laura" "apellidos" => "Orazi" "email" => array:1 [ 0 => "maria.orazi@hospitalitaliano.org.ar" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Graciela Noemí" "apellidos" => "Svetliza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Eduardo Luis" "apellidos" => "de Vito" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Juan Arturo" "apellidos" => "Precerutti" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Neumonología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "División de Neumonología y Laboratorio Pulmonar, Instituto de Investigaciones Médicas A. Lanari, UBA, Buenos Aires, Argentina" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Divertículos bronquiales gigantes múltiples" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 692 "Ancho" => 1400 "Tamanyo" => 202078 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 36-year-old man, former smoker (14 pack-years), candidate for lung transplant due to acquired non-cystic fibrosis bronchiectasis. Standard chest X-ray showed pulmonary hyperinflation and radiolucent images consistent with bronchiectasis. Bronchiectasis was confirmed on computed axial tomography of the chest, which revealed images of air in the mediastinum suggestive of tracheobronchial diverticula (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Virtual reconstruction shows multiple sac-like images in both main bronchi (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The neck of the diverticula can been seen in the upper right image. Small depressions in the mucosa corresponding to diverticular perforations were also observed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Early reports of this condition suggested a prevalence of 0.09%–0.05%, but a more recent study of 503 smokers and another of 200 adults without lung disease found a prevalence of 45% and 41%, respectively.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> The bronchial diverticula were small in size (1–3<span class="elsevierStyleHsp" style=""></span>mm). The interest in our case lies in the large size of the bilateral bronchial diverticula (10–13<span class="elsevierStyleHsp" style=""></span>mm in diameter) observed in tridimensional images reconstructed from computed tomography. These images would not have been observed on standard chest X-ray.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">No funding was received.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">No conflict of interests declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of Interests" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Orazi ML, Svetliza GN, de Vito EL, Precerutti JA. Divertículos bronquiales gigantes múltiples. Arch Bronconeumol. 2015;51:356.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 692 "Ancho" => 1400 "Tamanyo" => 202078 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "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" => "Diverticula in smokers on thin-section CT" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "N. Sverzellati" 1 => "A. Ingegnoli" 2 => "E. Calabrò" 3 => "G. Randi" 4 => "C. la Vecchia" 5 => "A. Marchianò" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00330-009-1515-2" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "88" "paginaFinal" => "94" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19597819" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characteristics and CT features of subcarinal air collections/main bronchial diverticula" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Higuchi" 1 => "N. Takahashi" 2 => "M. Shiotani" 3 => "H. Maeda" 4 => "N. Yoshimura" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00330-009-1526-z" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "95" "paginaFinal" => "99" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19657652" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005100000007/v1_201506250123/S157921291500138X/v1_201506250123/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005100000007/v1_201506250123/S157921291500138X/v1_201506250123/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291500138X?idApp=UINPBA00003Z" ]
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