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(B) Proliferation of spindle cells, cigar-shaped nuclei, and elongated cytoplasms, below the bronchial epithelium, H–E ×20. (C) S100 positivity for in these cells, ×40.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Angel Cilleruelo Ramos, Henar Borrego Pintado, Manuel Castanedo Allende" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Angel" "apellidos" => "Cilleruelo Ramos" ] 1 => array:2 [ "nombre" => "Henar" "apellidos" => "Borrego Pintado" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Castanedo Allende" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619301140" "doi" => "10.1016/j.arbres.2019.03.003" "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/S0300289619301140?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919304148?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000002/v2_202002112050/S1579212919304148/v2_202002112050/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Iatrogenic Pneumothorax Following Nasogastric Tube Misplacement" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "117" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Galo Granados, Amaia Ojanguren, Iñigo Ojanguren" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Galo" "apellidos" => "Granados" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Amaia" "apellidos" => "Ojanguren" "email" => array:1 [ 0 => "amaiaojanguren@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Iñigo" "apellidos" => "Ojanguren" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Departamento de Medicina, Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Departamento de Cirugía, Hospital Universitario Arnau de Vilanova, IRBLleida, Lleida, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "CIBER Enfermedades Respiratorias (CibeRes), Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax iatrogénico tras malposición de sonda nasogástrica" ] ] "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" => 508 "Ancho" => 1250 "Tamanyo" => 42644 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Chest X-ray showing nasogastric tube (arrow) in the right hemithorax; (b) complete right pneumothorax (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 73-year-old woman admitted to the neurology department with a suspected diagnosis of ischemic stroke in the middle cerebral artery accompanied by left hemiparesis, dysarthria, and impaired swallowing. Insertion of a nasogastric (NG) tube was indicated for nutritional purposes. After placement of the tube, air was instilled and gastric auscultation was performed, which was difficult to interpret. A follow-up chest X-ray showed the tip of the tube located in the right costophrenic angle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). After removal of the NG tube, the patient developed dyspnea and tachypnea, requiring oxygen therapy with a fraction of inspired oxygen of 50% to maintain correct saturations. An urgent chest X-ray performed at the bedside showed complete right pneumothorax (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b), so a chest tube was placed with subsequent resolution of the clinical picture.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The placement of an NG tube for nutritional or therapeutic purposes is common practice, although it is not free from complications. In fact, accidental introduction of the tube into the airway occurs in 0.3%–15% of cases.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> However, iatrogenic pneumothorax after NG tube insertion is rare.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> It should be suspected in patients with neurological disorders accompanied by a decreased cough reflex, since in this situation insertion of the NG tube in the airway may go unnoticed. Placement of the tube must be immediately confirmed with X-ray.</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: Granados G, Ojanguren A, Ojanguren I. Neumotórax iatrogénico tras malposición de sonda nasogástrica. Arch Bronconeumol. 2020;56:117.</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" => 508 "Ancho" => 1250 "Tamanyo" => 42644 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Chest X-ray showing nasogastric tube (arrow) in the right hemithorax; (b) complete right pneumothorax (arrow).</p>" ] ] ] "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" => "Iatrogenic pneumothorax: etiology, incidence and risk factors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Çelik" 1 => "E. Sahin" 2 => "A. Nadir" 3 => "M. Kaptanoglu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-0029-1185365" "Revista" => array:6 [ "tituloSerie" => "Thorac Cardiovasc Surg" "fecha" => "2009" "volumen" => "57" "paginaInicial" => "286" "paginaFinal" => "290" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19629891" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An unusual drain in the pleural cavity: iatrogenic pneumothorax due to pulmonary misplacement of a nasogastric tube" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Stefani" 1 => "C. Ruggiero" 2 => "B. Aramini" 3 => "A. Scamporlino" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-018-5280-z" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2018" "volumen" => "44" "paginaInicial" => "2290" "paginaFinal" => "2291" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29974170" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000002/v2_202002112050/S157921291930415X/v2_202002112050/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/15792129/0000005600000002/v2_202002112050/S157921291930415X/v2_202002112050/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291930415X?idApp=UINPBA00003Z" ]
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