JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Ab Boonswang
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dunning, K.
Right arrow Articles by Dorman, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Dunning, K.
Right arrow Articles by Dorman, S.
Related Collections
Right arrow Lung - other

J Thorac Cardiovasc Surg 2008;136:778-780
© 2008 The American Association for Thoracic Surgery

Brief Communication

Placental transmogrification of the lung presenting as tension pneumothorax: Case report with review of literature

Kyle Dunning, MD*, Stephen Chen, MD, Artun Aksade, MD, Ab Boonswang, MD, Sandy Dorman, MD

Department of Surgery and Pathology, Easton Hospital, Easton, PA, and Drexel University College of Medicine, Philadelphia, Pa

Received for publication August 27, 2007; accepted for publication November 9, 2007.

* Address for reprints: Kyle Dunning, MD, Department of Surgery, Easton Hospital, 250 South 21st Street, Easton, PA 18042. (Email: kyledunning@yahoo.com).

The first 20% of the full text of this article appears below.

An unusual case of localized giant bullous emphysema with placental histologic features (also known as placental transmogrification of lung) was seen in a patient with bullae admitted for a tension pneumothorax. This report evaluates the clinical, pathologic, and surgical aspects of this unusual histologic subtype of bullous emphysema. Thus far, 12 case reports documenting 23 cases have been identified in the English literature.

Clinical Summary

A 45-year-old Mexican-American man in moderate respiratory distress presented to the emergency department with a vague 1-week history of chest pain and 1-day history of acute onset severe dyspnea. He denied any history of recent trauma, history of smoking, or chemical exposure.

Physical examination revealed decreased breath sounds on the right side, and a chest x-ray was initially interpreted as a tension pneumothorax (Go Figure 1). Urgent needle decompression was performed, followed by placement of a right chest tube, with only minimal relief of symptoms. A repeat chest x-ray demonstrated relief of mediastinal shift but a lucency consistent with a collapsed lung. A chest computed tomography scan revealed giant bullous disease with a collapsed . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 by The American Association for Thoracic Surgery.