Placental transmogrification of the lung presenting as tension pneumothorax: Case report with review of literature Kyle Dunning, MD, Stephen Chen, MD,

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Presentation transcript:

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 The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 3, Pages 778-780.e8 (September 2008) DOI: 10.1016/j.jtcvs.2007.11.065 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Chest radiograph at time of presentation demonstrating large right pneumothorax with mediastinal shift and tracheal deviation to the left. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Computed tomography of the chest revealing bullous disease of the right lung and abnormal tissue at the right base with a density not consistent with lung tissue. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 High-power view of villous-like structure with vascular channels, lymphocytes, and edema (400×). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Chest radiograph at time of presentation demonstrating large right pneumothorax with mediastinal shift and tracheal deviation to the left. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Chest radiograph after placement of tube thoracostomy demonstrating resolution of the shift, incomplete expansion of the right lung and a density in the right lower lung field. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Computed tomography of the chest revealing bullous disease of the right lung and abnormal tissue at the right base with a density not consistent with lung tissue. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Computed tomography of the chest revealing bullous disease of the right lung and abnormal tissue at the right base with a density not consistent with lung tissue. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Computed tomography of the chest revealing bullous disease of the right lung and abnormal tissue at the right base with a density not consistent with lung tissue. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Chest radiograph at discharge showing complete re-expansion of the right lung with normal lung fields. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Low power photomicrograph of lung specimen showing villous-like changes in the region of bullae-placental transmogrification (100×). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

High power view of one villous-like structure with vascular channels, lymphocytes and edema (400×). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 778-780.e8DOI: (10.1016/j.jtcvs.2007.11.065) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions