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Tytuł oryginału: Vena azygos lobe: A cause of decompression illness?
Autorzy: Anegg U., Maier A., Fell B., Sankin O., Tomaselli F., Stacher R., Ebner F., Smolle-Jttner F. M.
Źródło: Case Rep. Clin. Pract. Rev. 2002: 3 (4) s.212-216, il., bibliogr. 9 poz.
Sygnatura GBL: 313,612

Hasła klasyfikacyjne GBL:
  • kardiologia
  • pulmonologia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 45-64 r.ż.
  • płeć męska

    Streszczenie angielskie: Background: The vena azygos lobe is an accessory lobe localized paramediastinally within the right upper lobe underneath a pleural fold running from the pleuar apex to the vena azygos. This entity can be seen in approximately 0.4-1 p.c. of the population and usually does not cause any symptoms at all. In rare cases inflammatory or poststenotic changes may evolve in this 'pseudolobe'. Diving accidents frequently occur due to pulmonary barotrauma caused by local overinflation of lung tissue as a consequence of inappropriate decompression. A diver, however, is prone to experience pulmonary barotrauma, especially if morphologic pulmonary changes have compromised expiratory air ventilation. Case report: A 58-year-old male recreational diver experienced cerebrospinal DCS II after a 30 m (99 ft) dive as a result of holding breath inadvertently during decompression and eventually perforeming an emergency ascent. Without any delay, the tetraplegic patient was admitted to the nearest hyperbaric chamber administering tables 6a and 5 USN. After referral to our department, NMR imaging revealed punctiform lesions in the white matter of the brain and the cervico-thoracic spinal cord. In the thoracic CT scan we detected severe bullous changes, especially in the vena azygos lobe, most likely giving rise to pulmonary barotrauma with nearly fatal air-embolism during decompression. To our knowledge, no such coincidence has been described in the literature. Conclusions: A vena azygos lobe as a normal anatomical variant does not bear any pathogenic significance for the causation of pulmonary...

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