Rev Pneumol Clin
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We report a case of acute respiratory distress which occurred three days after orthopaedic surgery and which led to the diagnosis of spontaneous rupture of the oesophagus (Boerhaave syndrome). The unusual nature of the signs delayed diagnosis.
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Lymphomatoid granulomatosis, reported in 450 cases in the literature, is a pathological and clinical entity frequently associated with systemic manifestations. The nodular lymphoproliferative formations lead to vessel destruction which immunohistochemistry and molecular biology has linked to T-lymphocyte proliferation. The major pulmonary and extra-pulmonary manifestations are described here together with diagnostic criteria. The prognosis has been greatly improved with the use of corticosteroids and cyclophosphamide-corticoid combinations.
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Case Reports
[Acute respiratory insufficiency after pleural talcage of pneumothorax. Apropos of a case].
The authors report about one case of respiratory distress occurring after pleural talcage for pneumothorax. Although few cases have been published, this complication is known, and it should lead to carefully consider the indication of this technique and to limit the total amount of talc used.
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The gold standard for the diagnosis of pulmonary embolism is still pulmonary angiography. Chest CT scan with injection of contrast medium can demonstrate a pulmonary embolism. In some cases, CT may discover a non suspected embolism. ⋯ Our method did not allow to study false negatives. Out of the eight true positive cases, four were not suspected by the physician and in all cases, the exam record was not really clear. At the end of this study and referring to the literature, we conclude that CT scan of the chest can be performed with injection of contrast medium if a pulmonary embolism is one of the eventual diagnosis when an other suspected affection is an indication for CT.