Clinical Image
Pneumothorax Related to Lung Cysts and Renal Masses
Neumotórax asociado a quistes pulmonares y masas renales
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Una complicación poco frecuente" ] ] "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" => 2049 "Ancho" => 2167 "Tamanyo" => 396071 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Subcutaneous emphysema extending to the cervical–facial region, dissecting even in the deepest cervical planes (pterygoid fossa and the submandibular, masticatory, retropharyngeal, parapharyngeal, and left carotid spaces) and (B) pneumomediastinum extending toward the upper (surrounding the trachea, supraaortic trunks, and adjacent structures) and anterior (in front of the pericardium and the outlets of the great vessels).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Reyes Mañas Vera, Ramón Lara Rosales, Araceli Sánchez González" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María Reyes" "apellidos" => "Mañas Vera" ] 1 => array:2 [ "nombre" => "Ramón" "apellidos" => "Lara Rosales" ] 2 => array:2 [ "nombre" => "Araceli" "apellidos" => "Sánchez González" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289614004517" "doi" => "10.1016/j.arbres.2014.10.010" "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/S0300289614004517?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915004231?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915004231/v1_201601300120/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pneumothorax Related to Lung Cysts and Renal Masses" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "106" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jorge Luiz Pereira e Silva, Cesar Augusto Araujo Neto, Edson Marchiori" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Jorge Luiz" "apellidos" => "Pereira e Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Cesar Augusto" "apellidos" => "Araujo Neto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "Edson" "apellidos" => "Marchiori" "email" => array:1 [ 0 => "edmarchiori@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Clinical Medicine, Faculty of Medicine, Federal University of Bahia, Salvador de Bahía, Brazil" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax asociado a quistes pulmonares y masas renales" ] ] "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" => 1073 "Ancho" => 995 "Tamanyo" => 156989 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal (A) and sagittal (B) reformatted CT images show numerous bilateral, variably sized, thin-walled cysts (some subpleural) with right pneumothorax, consistent with lymphangioleiomyomatosis. During VATS, subpleural cysts in the lung parenchyma were noted (C).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman presented with sudden onset of right chest pain and dyspnea. She had had two previous episodes of spontaneous pneumothorax. High-resolution computed tomography showed right pneumothorax and numerous thin-walled cysts in both lungs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a and b). Computed tomography also showed bilateral renal masses. Video-assisted thoracoscopic surgery (VATS) with bullectomy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c), and pleurodesis were performed. After 2 years, the patient remains asymptomatic.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The lung cysts were compatible with lymphangioleiomyomatosis (LAM). The renal masses were diagnosed histologically as angiomyolipoma. Given these features, a diagnosis of tuberous sclerosis complex (TSC) was made.</p><p id="par0015" class="elsevierStylePara elsevierViewall">TSC is an autosomal dominant disorder characterized by hamartoma formation in multiple organ systems. The definitive diagnosis can be made when the patient exhibits two major criteria (LAM, renal angiomyolipoma, cortical tuber, facial angiofibroma, retinal hamartomas, shagreen patch, subependymal nodule, ungual fibromas, among others) or 1 major and 2 minor diagnostic criteria.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The clinical spectrum of TSC is wide, and many patients have minimal signs and symptoms. The occurrence of LAM in patients with TSC is associated with diffuse cystic lung lesions, and pneumothorax is a well-recognised complication. VATS may play an important role in the diagnosis and treatment of this condition.<a class="elsevierStyleCrossRefs" href="#bib0015"><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: Pereira e Silva JL, Araujo Neto CA, Marchiori E. Neumotórax asociado a quistes pulmonares y masas renales. Arch Bronconeumol. 2016;52:106.</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" => 1073 "Ancho" => 995 "Tamanyo" => 156989 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal (A) and sagittal (B) reformatted CT images show numerous bilateral, variably sized, thin-walled cysts (some subpleural) with right pneumothorax, consistent with lymphangioleiomyomatosis. During VATS, subpleural cysts in the lung parenchyma were noted (C).</p>" ] ] ] "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" => "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" => "en" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915001470/v1_201601300120/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/15792129/0000005200000002/v1_201601300120/S1579212915001470/v1_201601300120/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001470?idApp=UINPBA00003Z" ]
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