A rare cause of respiratory insufficiency: case presentation

• Autorzy: Camelia Diaconu , Bianca Paraschiv , Răzvan Lungu , Daniela Bartoş
• Języki publikacji: EN

Abstrakty

EN

We report the case of a 73 year old woman who presented for progressive dyspnea. Her medical history included thyroidectomy 15 years ago, myocardial infarction, recurrent paroxysmal atrial fibrillation and femoral fracture two weeks previously, conservatively treated. Physical examination revealed absent breath sounds in the left hemithorax, up to the apex, and crackles in the right hemithorax. The acid-base balance showed acute hypoxemic respiratory failure. The chest X-Ray revealed left diaphragmatic paralysis. Thoracic CT-scan was performed, which excluded the pulmonary embolism and revealed left diaphragmatic relaxation, ascension of the splenic angle of the colon, stomach and spleen up to the projection of left lung hilum, and right postero-basal alveolar condensation process. Diaphragm dysfunction can be caused by various disorders, including phrenic paralysis. This pathology should be considered in the differential diagnosis of acute respiratory failure.

Słowa kluczowe

EN

Diaphragm; Paralysis; Surgery

• Czasopismo: Open Medicine
• Rocznik: 2014
• Tom: 9
• Numer: 1
• Strony: 141-143

Daty

wydano

2014-02-01

online

2014-02-04

Twórcy

autor

Camelia Diaconu

• Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital of Bucharest, Bucharest, Romania,

autor

Bianca Paraschiv

• National Institute of Pneumology Marius Nasta, Bucharest, Romania

autor

Răzvan Lungu

• Internal Medicine Clinic, Clinical Emergency Hospital of Bucharest, Bucharest, Romania

autor

Daniela Bartoş

• Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital of Bucharest, Bucharest, Romania

Bibliografia

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Identyfikatory

DOI

10.2478/s11536-013-0258-2