array:24 [
  "pii" => "S1579212917303919"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2017.05.027"
  "estado" => "S300"
  "fechaPublicacion" => "2018-01-01"
  "aid" => "1633"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2018;54:39"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1041
    "formatos" => array:3 [
      "EPUB" => 159
      "HTML" => 513
      "PDF" => 369
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S0300289617301497"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2017.05.007"
      "estado" => "S300"
      "fechaPublicacion" => "2018-01-01"
      "aid" => "1633"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2018;54:39"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1512
        "formatos" => array:3 [
          "EPUB" => 161
          "HTML" => 991
          "PDF" => 360
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Clinical image</span>"
        "titulo" => "Pulmonary Foreign Body&#58; An Unusual Cause of Recurrent Pneumonia"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "39"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Cuerpo extra&#241;o en pulm&#243;n como causa poco frecuente de neumon&#237;a recurrente"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Fig&#46; 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 914
                "Ancho" => 1625
                "Tamanyo" => 196952
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT&#46; Panels A&#44; C are cuts from pre-procedure scan&#46; Panels B&#44; D are the same cuts from post procedure scan&#46; Calcified right hilar lesion &#40;arrow&#44; panel A&#41;&#46; Collapsed RLL segmental bronchi &#40;arrows&#44; panel C&#41;&#46; Post procedure&#44; patent RLL bronchus &#40;arrow&#44; panel B&#41;&#46; Post procedure&#44; patent RLL segmental bronchi &#40;arrows&#44; panel D&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Muhammad Sajawal Ali, Ali Imran Musani, Kumar Gaurav"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Muhammad Sajawal"
                "apellidos" => "Ali"
              ]
              1 => array:2 [
                "nombre" => "Ali Imran"
                "apellidos" => "Musani"
              ]
              2 => array:2 [
                "nombre" => "Kumar"
                "apellidos" => "Gaurav"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212917303919"
          "doi" => "10.1016/j.arbr.2017.05.027"
          "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/S1579212917303919?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617301497?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005400000001/v1_201801020552/S0300289617301497/v1_201801020552/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212917303658"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2017.11.001"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1644"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2018;54:40"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1147
      "formatos" => array:3 [
        "EPUB" => 131
        "HTML" => 605
        "PDF" => 411
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Coronary Syndrome as the First Manifestation of Invasive Thymoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "40"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome coronario como primera manifestaci&#243;n de timoma invasivo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 812
              "Ancho" => 1500
              "Tamanyo" => 263963
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronary syndrome as the first manifestation of invasive thymoma&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jes&#250;s Piqueras-Flores, Manuel Rayo-Guti&#233;rrez, Isabel Maria de Lara-Sim&#243;n"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jes&#250;s"
              "apellidos" => "Piqueras-Flores"
            ]
            1 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Rayo-Guti&#233;rrez"
            ]
            2 => array:2 [
              "nombre" => "Isabel Maria"
              "apellidos" => "de Lara-Sim&#243;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289617301606"
        "doi" => "10.1016/j.arbres.2017.05.018"
        "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/S0300289617301606?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917303658?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000001/v1_201801020537/S1579212917303658/v1_201801020537/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S157921291730397X"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2017.09.010"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1709"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "ssu"
    "cita" => "Arch Bronconeumol. 2018;54:31-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3032
      "formatos" => array:3 [
        "EPUB" => 161
        "HTML" => 2263
        "PDF" => 608
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
      "titulo" => "Bioengineered Lungs&#58; A Challenge and An Opportunity"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "31"
          "paginaFinal" => "38"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Pulmones biofabricados&#58; un desaf&#237;o y una oportunidad"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Fig&#46; 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 2483
              "Ancho" => 2185
              "Tamanyo" => 276094
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Orthotopic transplantation of a bioengineered rodent lung&#46; &#40;a&#41; Photograph showing the implanted regenerated left lung&#46; Recipient left pulmonary artery &#40;A&#41;&#44; left main bronchus &#40;B&#41; and left pulmonary vein &#40;V&#41; are connected to regenerated left lung pulmonary artery &#40;a&#41;&#44; bronchus &#40;b&#41; and pulmonary vein &#40;v&#41;&#46; White arrowheads&#44; the recipient&#39;s right lung &#40;infracardiac and right lower lobe&#41;&#59; back arrowheads&#44; the regenerated left lung construct&#46; &#40;b&#41; Radiograph&#58; white arrowheads&#44; recipient&#39;s right lung&#59; black arrowheads&#44; regenerated left lung construct&#46; &#40;c&#41; Blood gas analyses showing decrease in arterial oxygen tension &#40;PaO<span class="elsevierStyleInf">2</span>&#41; after left pneumonectomy and partial recovery after orthotopic transplantation of a regenerated left lung construct&#46; Baseline&#44; single lung&#44; 10<span class="elsevierStyleHsp" style=""></span>min and 30<span class="elsevierStyleHsp" style=""></span>min measurements were obtained with the rat intubated and ventilated at volume control ventilation&#59; 6<span class="elsevierStyleHsp" style=""></span>h measurements were obtained with the rat extubated and breathing room air without support of a ventilator&#46; Upper <span class="elsevierStyleItalic">P</span> values compare single lung ventilation to 5<span class="elsevierStyleHsp" style=""></span>min&#44; and 30<span class="elsevierStyleHsp" style=""></span>min time points after transplantation&#46; Lower <span class="elsevierStyleItalic">P</span> values compare pneumonectomy to transplantation at 5<span class="elsevierStyleHsp" style=""></span>min&#44; 30<span class="elsevierStyleHsp" style=""></span>min and 6<span class="elsevierStyleHsp" style=""></span>h time points after operation&#46; Data are mean and SD&#46;</p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Source&#58; Reproduced from Ref&#46; <a class="elsevierStyleCrossRef" href="#bib0420">27</a>&#44; with permission of the copyright owner of Nature Medicine&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ramon Farr&#233;, Jordi Otero, Isaac Almendros, Daniel Navajas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ramon"
              "apellidos" => "Farr&#233;"
            ]
            1 => array:2 [
              "nombre" => "Jordi"
              "apellidos" => "Otero"
            ]
            2 => array:2 [
              "nombre" => "Isaac"
              "apellidos" => "Almendros"
            ]
            3 => array:2 [
              "nombre" => "Daniel"
              "apellidos" => "Navajas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0300289617302910"
        "doi" => "10.1016/j.arbres.2017.09.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302910?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291730397X?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000001/v1_201801020537/S157921291730397X/v1_201801020537/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical image</span>"
    "titulo" => "Pulmonary Foreign Body&#58; An Unusual Cause of Recurrent Pneumonia"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "39"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Muhammad Sajawal Ali, Ali Imran Musani, Kumar Gaurav"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Muhammad Sajawal"
            "apellidos" => "Ali"
            "email" => array:1 [
              0 => "muali&#64;mcw&#46;edu"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Ali Imran"
            "apellidos" => "Musani"
          ]
          2 => array:2 [
            "nombre" => "Kumar"
            "apellidos" => "Gaurav"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Pulmonary&#44; Critical Care and Sleep Medicine&#44; Medical College of Wisconsin&#44; USA"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Cuerpo extra&#241;o en pulm&#243;n como causa poco frecuente de neumon&#237;a recurrente"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 914
            "Ancho" => 1625
            "Tamanyo" => 197360
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT&#46; Panels A&#44; C are cuts from pre-procedure scan&#46; Panels B&#44; D are the same cuts from post procedure scan&#46; Calcified right hilar lesion &#40;arrow&#44; panel A&#41;&#46; Collapsed RLL segmental bronchi &#40;arrows&#44; panel C&#41;&#46; Post procedure&#44; patent RLL bronchus &#40;arrow&#44; panel B&#41;&#46; Post procedure&#44; patent RLL segmental bronchi &#40;arrows&#44; panel D&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 45-year-old female presented with a chronic cough&#46; Her symptoms started 20 years back when she was diagnosed with right-sided pneumonia and empyema&#44; requiring surgical decortication&#46; Since then she had regularly been having episodes of coughing and dyspnea&#44; variably treated with antibiotics&#44; steroids and inhalers&#46; However&#44; for the last several weeks&#44; her symptoms had been persistent&#46; Chest CT showed right lower lobe &#40;RLL&#41; bronchiectasis&#44; nodularity and a calcified right hilar lesion&#44; suggestive of a calcified lymph node &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; panel A&#41;&#46; Bronchoscopy revealed a raised lesion with granulation tissue at the distal end of bronchus intermedius &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#44; panel A&#41;&#46; It was causing near complete occlusion of the RLL bronchus&#46; Fogarty balloon catheter was used to dilate the RLL orifice &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#44; panel B&#41;&#46; After removal of pus and granulation tissue&#44; a foreign body was noted &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#44; panel C&#41;&#46; Rigid bronchoscope and forceps were used to break and retrieve the foreign body&#46; After foreign body&#39;s retrieval&#44; patent RLL segments were noted &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; panel D&#41;&#46; Repeat chest CT showed patent RLL bronchi &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; panels B&#44; D&#41; The foreign body appeared to be a fruit seed which the patient likely aspirated 20 years earlier&#44; leading to recurrent post-obstructive pneumonia&#46; Seeds and bones are the most frequently aspirated foreign bodies in adult population&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 914
            "Ancho" => 1625
            "Tamanyo" => 197360
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT&#46; Panels A&#44; C are cuts from pre-procedure scan&#46; Panels B&#44; D are the same cuts from post procedure scan&#46; Calcified right hilar lesion &#40;arrow&#44; panel A&#41;&#46; Collapsed RLL segmental bronchi &#40;arrows&#44; panel C&#41;&#46; Post procedure&#44; patent RLL bronchus &#40;arrow&#44; panel B&#41;&#46; Post procedure&#44; patent RLL segmental bronchi &#40;arrows&#44; panel D&#41;&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1203
            "Ancho" => 1625
            "Tamanyo" => 191705
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Bronchoscopic images&#46; Raised lesion with granulation tissue at the distal end of bronchus intermedius &#40;panel A&#41;&#46; Fogarty balloon catheter being used to dilate the RLL orifice &#40;panel B&#41;&#46; Foreign body with brown&#44; irregular surface &#40;panel<span class="elsevierStyleHsp" style=""></span>C&#41;&#46; Patent RLL segments after retrieval of the foreign body &#40;panel D&#41;&#46;</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" => "Update in the extraction of airway foreign bodies in adults"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Blanco Ramos"
                            1 => "M&#46; Botana-Rial"
                            2 => "E&#46; Garc&#237;a-Font&#225;n"
                            3 => "A&#46; Fern&#225;ndez-Villar"
                            4 => "M&#46; Gallas Torreira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.21037/jtd.2016.11.32"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Dis"
                        "fecha" => "2016"
                        "volumen" => "8"
                        "paginaInicial" => "3452"
                        "paginaFinal" => "3456"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28066626"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchoscopic foreign body extraction in a pulmonary medicine department&#58; a retrospective review of Egyptian experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Korraa"
                            1 => "A&#46; Madkour"
                            2 => "K&#46; Wagieh"
                            3 => "A&#46; Nafae"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/LBR.0b013e3181cd5ca2"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bronchology Interv Pulmonol"
                        "fecha" => "2010"
                        "volumen" => "17"
                        "paginaInicial" => "39"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23168658"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005400000001/v1_201801020537/S1579212917303919/v1_201801020537/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/15792129/0000005400000001/v1_201801020537/S1579212917303919/v1_201801020537/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917303919?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 54. Issue 1.
Pages 39 (January 2018)
Share
Share
Download PDF
More article options
Vol. 54. Issue 1.
Pages 39 (January 2018)
Clinical image
Full text access
Pulmonary Foreign Body: An Unusual Cause of Recurrent Pneumonia
Cuerpo extraño en pulmón como causa poco frecuente de neumonía recurrente
Visits
3869
Muhammad Sajawal Ali
Corresponding author
muali@mcw.edu

Corresponding author.
, Ali Imran Musani, Kumar Gaurav
Department of Pulmonary, Critical Care and Sleep Medicine, Medical College of Wisconsin, USA
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Full Text

A 45-year-old female presented with a chronic cough. Her symptoms started 20 years back when she was diagnosed with right-sided pneumonia and empyema, requiring surgical decortication. Since then she had regularly been having episodes of coughing and dyspnea, variably treated with antibiotics, steroids and inhalers. However, for the last several weeks, her symptoms had been persistent. Chest CT showed right lower lobe (RLL) bronchiectasis, nodularity and a calcified right hilar lesion, suggestive of a calcified lymph node (Fig. 1, panel A). Bronchoscopy revealed a raised lesion with granulation tissue at the distal end of bronchus intermedius (Fig. 2, panel A). It was causing near complete occlusion of the RLL bronchus. Fogarty balloon catheter was used to dilate the RLL orifice (Fig. 2, panel B). After removal of pus and granulation tissue, a foreign body was noted (Fig. 2, panel C). Rigid bronchoscope and forceps were used to break and retrieve the foreign body. After foreign body's retrieval, patent RLL segments were noted (Fig. 1, panel D). Repeat chest CT showed patent RLL bronchi (Fig. 1, panels B, D) The foreign body appeared to be a fruit seed which the patient likely aspirated 20 years earlier, leading to recurrent post-obstructive pneumonia. Seeds and bones are the most frequently aspirated foreign bodies in adult population.1,2

Fig. 1.

Chest CT. Panels A, C are cuts from pre-procedure scan. Panels B, D are the same cuts from post procedure scan. Calcified right hilar lesion (arrow, panel A). Collapsed RLL segmental bronchi (arrows, panel C). Post procedure, patent RLL bronchus (arrow, panel B). Post procedure, patent RLL segmental bronchi (arrows, panel D).

(0.19MB).
Fig. 2.

Bronchoscopic images. Raised lesion with granulation tissue at the distal end of bronchus intermedius (panel A). Fogarty balloon catheter being used to dilate the RLL orifice (panel B). Foreign body with brown, irregular surface (panelC). Patent RLL segments after retrieval of the foreign body (panel D).

(0.18MB).
References
[1]
M. Blanco Ramos, M. Botana-Rial, E. García-Fontán, A. Fernández-Villar, M. Gallas Torreira.
Update in the extraction of airway foreign bodies in adults.
J Thorac Dis, 8 (2016), pp. 3452-3456
[2]
E. Korraa, A. Madkour, K. Wagieh, A. Nafae.
Bronchoscopic foreign body extraction in a pulmonary medicine department: a retrospective review of Egyptian experience.
J Bronchology Interv Pulmonol, 17 (2010), pp. 39-44
Copyright © 2017. SEPAR
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?