RESUMEN
We report a case of superior mesenteric artery( SMA) embolism on the seventh day after lung resection. The patient is a 76-year-old woman. She underwent complete thoracoscopic left upper lobectomy and systematic lymph node dissection for adenocarcinoma of the lung. On the seventh postoperative day, the patient suddenly developed severe abdominal pain. Thrombolytic therapy was selected initially under the diagnosis of the SMA occlusion by the embolism. Since the symptoms did not improve after one hour of thrombolysis, we decided to perform a necrotic bowel resection. Postoperative course was uneventful, and the patient was discharged on the 18th day after laparotomy.
Asunto(s)
Adenocarcinoma , Embolia , Neoplasias Pulmonares , Adenocarcinoma/cirugía , Anciano , Embolia/cirugía , Femenino , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/cirugía , Arteria Mesentérica Superior/diagnóstico por imagen , Arteria Mesentérica Superior/cirugía , NeumonectomíaRESUMEN
A large-scale screening involving the measurement of N-ERC/mesothelin levels in blood using an ELISA system for the early diagnosis of malignant mesothelioma (MM) was carried out in individuals with a history of employment at construction sites. Approximately 30,000 subjects were screened. Of the 80 subjects with high-risk values, one male patient was diagnosed as having MM based on a PET study and histopathology. This is the first report of the pre-clinical diagnosis of MM based on blood test screening. In addition, plasma levels of N-ERC/mesothelin may be effectively used for monitoring relapse after surgery.
RESUMEN
We report a case of aspergilloma in an 80-year-old male patient who had no identifiable underlying disease before surgery for pneumothorax. He was hospitalized for left pneumothorax. A chest CT revealed a large bulla in the left lung apex with a nodule (diameter; 1.5 cm) at the edge of the bulla. After thoracodocesis, air leakage persisted and a large bulla and nodule were resected. Aspergillus was detected histopathologically in the nodule. Treatment with itraconazole 200 mg a day followed, and 4 months later he had no recurrent pneumothorax or Aspergillus infection.