Clinical Image
An Unusual Cause for Hemoptysis
Una causa inusual de hemoptisis
Pulmonology Department, Centro Hospitalar de São João, Porto, Portugal
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C) TAC toracoabdominal (plano coronal) que muestra una gran masa abdominal de unos 13<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>11<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8,3<span class="elsevierStyleHsp" style=""></span>cm, aparentemente originada en el riñón derecho, que invade el lóbulo hepático derecho, el diafragma y el lóbulo inferior del pulmón derecho (ver la flecha en el campo superior izquierdo).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Hans Dabó, Carla Damas" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Hans" "apellidos" => "Dabó" ] 1 => array:2 [ "nombre" => "Carla" "apellidos" => "Damas" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915001457" "doi" => "10.1016/j.arbr.2015.05.008" "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/S1579212915001457?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001301?idApp=UINPBA00003Z" "url" => "/03002896/0000005200000005/v1_201604270107/S0300289615001301/v1_201604270107/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212916300015" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.03.001" "estado" => "S300" "fechaPublicacion" => "2016-05-01" "aid" => "1221" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2016;52:276-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1864 "formatos" => array:3 [ "EPUB" => 139 "HTML" => 1272 "PDF" => 453 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Incisional Metastasis From Lung Cancer After Transcervical Extended Mediastinal Lymphadenectomy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "276" "paginaFinal" => "277" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis incisional de carcinoma broncogénico tras linfadenectomía mediastínica transcervical extendida" ] ] "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" => 664 "Ancho" => 1505 "Tamanyo" => 191165 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Surgical field and incisional metastasis 1.8×1.4<span class="elsevierStyleHsp" style=""></span>cm in the TEMLA scar.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. 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(C) Thoracoabdominal CT (coronal plane) showing a large abdominal mass of about 13<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>11<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8.3<span class="elsevierStyleHsp" style=""></span>cm, apparently originating in the right kidney, invading the right lobe of the liver, the diaphragm and the lower lobe of the right lung (red arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 45-year-old man was admitted to the pulmonology department with a 2-week history of cough, sputum, hemoptysis and pleuritic chest pain on the right side. He reported anorexia, weight loss of about 6<span class="elsevierStyleHsp" style=""></span>kg and excessive night sweating for the previous 2 months. For several months he had had recurrent episodes of dysuria, pollakiuria, nocturia and bilateral lumbar pain radiating to the groin. On physical examination, there were slightly decreased breath sounds in the right lung base and slight right flank pain on deep palpation. Chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) revealed a rounded opacity in the right lung base, and thoracoabdominal computed tomography (CT) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) confirmed the presence of a large abdominal mass invading the thorax (see figure legend). Pathological examination of the lesion revealed poorly differentiated carcinoma of apparently urothelial origin. The patient started chemotherapy, but died about 8 months later due to disease progression.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no funding was received for this paper.</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of Interests</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare that there is no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Dabó H, Damas C. Una causa inusual de hemoptisis. Arch Bronconeumol. 2016;52:275.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1500 "Ancho" => 786 "Tamanyo" => 169135 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Chest X-ray (posteroanterior and lateral aspects, respectively) revealing a rounded opacity in the right lung base. (C) Thoracoabdominal CT (coronal plane) showing a large abdominal mass of about 13<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>11<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8.3<span class="elsevierStyleHsp" style=""></span>cm, apparently originating in the right kidney, invading the right lobe of the liver, the diaphragm and the lower lobe of the right lung (red arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000005/v1_201604270052/S1579212915001457/v1_201604270052/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/15792129/0000005200000005/v1_201604270052/S1579212915001457/v1_201604270052/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001457?idApp=UINPBA00003Z" ]
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