Clinical Image
Jelly-like Pleural Effusions: An Uncommon Manifestation of Pseudomyxoma Peritonei
Derrames pleurales gelatinosos: una manifestación infrecuente del pseudomixoma peritoneal
a Department of Gastroenterology, Gaochun People's Hospital of Nanjing, Nanjing, China
b Department of Gastroenterology, Suzhou Ninth People's Hospital, Affiliated Wujiang Hospital of Nantong University, Suzhou, China
c Department of General Surgery, Nantong Hospital of Traditional Chinese Medicine, Nantong, China
Read
3170
Timeswas read the article
841
Total PDF
2329
Total HTML
Share statistics
array:23 [ "pii" => "S1579212921002664" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.01.006" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2722" "copyright" => "SEPAR" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:592" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S1579212921002640" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.10.013" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2667" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2021;57:593-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Time-based Register and Analysis of COPD Endpoints (TRACE) Project: Methodology and Workflow" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "593" "paginaFinal" => "594" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Registro y análisis en el tiempo de resultados clínicos en EPOC (Proyecto TRACE): metodología y procedimiento" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Carrasco Hernández, Candela Caballero Eraso, María Abad Arranz, Eduardo Márquez Martín, Carmen Calero Acuña, Jose Luis Lopez-Campos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Carrasco Hernández" ] 1 => array:2 [ "nombre" => "Candela" "apellidos" => "Caballero Eraso" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Abad Arranz" ] 3 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Márquez Martín" ] 4 => array:2 [ "nombre" => "Carmen" "apellidos" => "Calero Acuña" ] 5 => array:2 [ "nombre" => "Jose Luis" "apellidos" => "Lopez-Campos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002640?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002640/v1_202109020614/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921002652" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.12.010" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2720" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:591" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Chronic Pulmonary Aspergillosis and the Effect of Corticosteroids" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "591" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aspergilosis pulmonar crónica y el efecto de los corticosteroides" ] ] "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" => 2097 "Ancho" => 1583 "Tamanyo" => 415502 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a, b) X-ray evolution of the patient. The X-ray on the left (a) was performed before corticosteroids therapy and the one on the right (b) about seven months after the beginning of that therapy; (c, d) coronal and axial views of thoracic computed tomography performed after six months of Itraconazole, showing giant aspergilloma in left lung; (e, f) necrotic material of fungus ball observed during surgery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cláudia S. Sousa, Pedro Mendes, António Brazão" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cláudia S." "apellidos" => "Sousa" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Mendes" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Brazão" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002652?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002652/v1_202109020614/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Jelly-like Pleural Effusions: An Uncommon Manifestation of Pseudomyxoma Peritonei" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "592" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yimin Ma, Zhenguo Qiao, Haidong Chen" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Yimin" "apellidos" => "Ma" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">◊</span>" "identificador" => "fn0005" ] ] ] 1 => array:3 [ "nombre" => "Zhenguo" "apellidos" => "Qiao" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">◊</span>" "identificador" => "fn0005" ] ] ] 2 => array:4 [ "nombre" => "Haidong" "apellidos" => "Chen" "email" => array:1 [ 0 => "songqianlian@yeah.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Gastroenterology, Gaochun People's Hospital of Nanjing, Nanjing, China" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Gastroenterology, Suzhou Ninth People's Hospital, Affiliated Wujiang Hospital of Nantong University, Suzhou, China" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of General Surgery, Nantong Hospital of Traditional Chinese Medicine, Nantong, China" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Derrames pleurales gelatinosos: una manifestación infrecuente del pseudomixoma peritoneal" ] ] "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" => 1570 "Ancho" => 1500 "Tamanyo" => 488514 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT scan showed massive pleural effusions on the right side with local atelectasis of the right lung (A). Abdominal CT scan revealed multiple low-density shadows of unequal size in the liver, and the edge of the lesions were slightly enhanced (B). An open thoracotomy revealed 1500<span class="elsevierStyleHsp" style=""></span>ml free mucus in the right pleural space (C), and multiple masses along the pleura, diaphragm and liver (D). Postoperative pathological showed low-grade mucinous neoplasm (E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 65-year-old female was admitted to the hospital in October 2019, with a chief complaint of chest tightness for 2 months. The patient underwent a complete cytoreductive surgery (CRS) for pseudomyxoma peritonei (PMP) one year ago. Thoracic computed tomography (CT) showed massive pleural effusions on the right side with local atelectasis of the right lung (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Abdominal CT revealed multiple low-density shadows of unequal size in the liver, and the edge of the lesions were slightly enhanced (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Combined with previous medical history, she was diagnosed as pleural extension of PMP. After comprehensive assessment, she underwent thoracotomy. The operation revealed 1500<span class="elsevierStyleHsp" style=""></span>ml free mucus in the right pleural space (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), and multiple masses along the pleura, diaphragm and liver (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). Postoperative pathological consisted with low-grade mucinous neoplasm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">PMP is a rare disease characterized by mucinous ascites from intra-abdominal neoplastic mucin secreting cells proliferating on the peritoneal surface. It usually originates from the appendix or ovary.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Metastases and extraperitoneal involvement are extremely rare.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Here, we report a rare case of PMP metastasizing to the pleural and speculate that is the result of diaphragmatic injury caused by the previous operation. The mucus-producing cells migrate to the pleural space through the minor injury and result progressive accumulation of gelatinous material. In addition, the tumor deposits also accumulate at the liver surface close to the diaphragm which supported our speculation.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "◊" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">These authors contributed equally to this work.</p>" "identificador" => "fn0005" ] ] "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" => 1570 "Ancho" => 1500 "Tamanyo" => 488514 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT scan showed massive pleural effusions on the right side with local atelectasis of the right lung (A). Abdominal CT scan revealed multiple low-density shadows of unequal size in the liver, and the edge of the lesions were slightly enhanced (B). An open thoracotomy revealed 1500<span class="elsevierStyleHsp" style=""></span>ml free mucus in the right pleural space (C), and multiple masses along the pleura, diaphragm and liver (D). Postoperative pathological showed low-grade mucinous neoplasm (E).</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" => "A jelly belly: an unusual cause of ascites" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Dolapsakis" 1 => "A. Panagopoulos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejim.2018.07.009" "Revista" => array:7 [ "tituloSerie" => "Eur J Intern Med" "fecha" => "2019" "volumen" => "61" "paginaInicial" => "e5" "paginaFinal" => "e6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30017558" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0031395515001133" "estado" => "S300" "issn" => "00313955" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital pleuroperitoneal communication in a patient with pseudomyxoma peritonei" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.R. Pestieau" 1 => "R. Wolk" 2 => "P.H. Sugarbaker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/(sici)1096-9098(200003)73:3<174::aid-jso12>3.0.co;2-u" "Revista" => array:7 [ "tituloSerie" => "J Surg Oncol" "fecha" => "2000" "volumen" => "73" "paginaInicial" => "174" "paginaFinal" => "178" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10738273" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0091674912007798" "estado" => "S300" "issn" => "00916749" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002664/v1_202109020614/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000009/v1_202109020614/S1579212921002664/v1_202109020614/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002664?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 14 | 5 | 19 |
| 2024 October | 113 | 18 | 131 |
| 2024 September | 121 | 13 | 134 |
| 2024 August | 110 | 32 | 142 |
| 2024 July | 90 | 17 | 107 |
| 2024 June | 69 | 21 | 90 |
| 2024 May | 110 | 21 | 131 |
| 2024 April | 74 | 24 | 98 |
| 2024 March | 82 | 21 | 103 |
| 2024 February | 100 | 25 | 125 |
| 2024 January | 97 | 28 | 125 |
| 2023 December | 59 | 17 | 76 |
| 2023 November | 89 | 27 | 116 |
| 2023 October | 92 | 25 | 117 |
| 2023 September | 111 | 29 | 140 |
| 2023 August | 60 | 31 | 91 |
| 2023 July | 54 | 23 | 77 |
| 2023 June | 73 | 8 | 81 |
| 2023 May | 58 | 15 | 73 |
| 2023 April | 51 | 39 | 90 |
| 2023 March | 83 | 30 | 113 |
| 2023 February | 70 | 14 | 84 |
| 2023 January | 57 | 22 | 79 |
| 2022 December | 85 | 27 | 112 |
| 2022 November | 80 | 24 | 104 |
| 2022 October | 60 | 40 | 100 |
| 2022 September | 49 | 24 | 73 |
| 2022 August | 39 | 40 | 79 |
| 2022 July | 51 | 33 | 84 |
| 2022 June | 29 | 31 | 60 |
| 2022 May | 24 | 29 | 53 |
| 2022 April | 26 | 26 | 52 |
| 2022 March | 33 | 45 | 78 |
| 2022 February | 15 | 17 | 32 |
| 2021 September | 1 | 0 | 1 |
Show all
