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Vol. 18. Issue 4.
Pages 211-213 (July - August 1982)
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Vol. 18. Issue 4.
Pages 211-213 (July - August 1982)
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Neumomediastino como complicacion en la evolucion de la enfermedad de hodgkin. A proposito de un caso
Pneumomediastinum associated with hodgkin's disease: One casereport
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J.L. Gonzalez Larriba, A. Ordoñez Gallego, M. Constenla Figueiras, M. Garcia de Paredes, J.M. Montero Garcia
Ciudad Sanitaria de la S.S. «La Paz». Universidad Autónoma. Madrid
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Article information
Resumen

Se presenta un paciente con enfermedad de Hodgkin, que a los ocho años de evolución y encontrándose en situación casi terminal, tuvo como complicación un neumodiastino secundario a una probable infiltración linfomatosa y posterior desgarro del tercio distal esofágico.

Aprovechamos el caso para exponer la etiopatogenia, clínica, radiología y complicaciones del neumomediastino, así como para intentar explicar lo insólito de esta complicación.

Summary

The authors describe a patient with Hodgkin's disease, who 8 years after onset, while in an advanced, almost terminal State, developed pneumomediastinum due to probable lymphomatous infiltration, with posterior tearing of the distal third of the esophagus. The clinical and radiological signs, the etiopathogenicity and complications of pneumomediastinum are reviewed and an attempt is made to explain the presence of this rare complication.

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Bibliografia
[1.]
R.G. Fraser, F.J.A.P Paré.
Diagnóstico de las enfermedades del tórax.
Enfermedad de Hodgkin, Ed. Salvat, (1973), pp. 737-745
[2.]
E.M. Morán, J.E. Ultman.
Características clínicas y evolución de la enfermedad de Hodgkin.
Clin Hematol, 2 (1975), pp. 91
[3.]
G. Bonadonna, R. Zucali, S. Monfardini, M. De Lena, Uslenghi C:.
Combination chemotherapy of Hodgkin's disease with adriamycin, bleomycin, vinblastine and imidazole carboxamide versus MOPP.
Cancer, 36 (1975), pp. 252-259
[4.]
R.G. Fraser, Paré JAP:.
Diagnóstico de la enfermedades del tórax.
Neumomediastino, Ed. Salvat, (1973), pp. 1125-1131
[5.]
Gray JM:.
Mediastinal emphysema: aetiology, diagnosis and treatment.
Thorax, 21 (1966), pp. 325
[6.]
Hoskins EOL:.
Unusual radiological manifestations of Hodgkin's disease.
Procc Roy Soc Med, (1967), pp. 729
[7.]
E.P. Goldstein, Sherlock P:.
Candida infection of the gastrointestinal tract.
Medicine, 51 (1972), pp. 367
Copyright © 1982. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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