| Respiratory distress syndrome. A suggestive pattern of shunt effect detected by means of macroparticles. | |
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MedLine Citation:
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PMID: 8422714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An esophagobronchial fistula developed in a patient who had well-differentiated squamous carcinoma of the lung that was treated with chemotherapy. Because the esophagobronchial fistula could not be surgically repaired, it was isolated with a mechanical stitch above and below it. Forty-eight hours after initiation of enteral nutrition, a perfusion lung scan was performed because of clinical suspicion of pulmonary embolism. Because the scan showed reduced pulmonary radioactivity and accumulation of activity in the kidneys and spine, an arteriovenous shunt was suspected. However, subsequent digital subtraction angiography ruled out this possibility and a recurrence of the esophagobronchial fistula was confirmed with an esophagogram. The unusual extrapulmonary activity could be related to a reversible capillary shunt in the pulmonary vasculature, secondary to acute respiratory distress syndrome. |
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Authors:
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A Maldonado; M Domper; M J Garcia; J Arbizu; S Martin; J Richter |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical nuclear medicine Volume: 18 ISSN: 0363-9762 ISO Abbreviation: Clin Nucl Med Publication Date: 1993 Jan |
Date Detail:
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Created Date: 1993-02-25 Completed Date: 1993-02-25 Revised Date: 2006-04-24 |
Medline Journal Info:
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Nlm Unique ID: 7611109 Medline TA: Clin Nucl Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 19-21 Citation Subset: IM |
Affiliation:
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Department of Nuclear Medicine, Clínica Universitaria de Navarra, Pamplona, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Antineoplastic Combined Chemotherapy Protocols
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therapeutic use Bronchial Fistula / complications Carcinoma, Squamous Cell / drug therapy Esophageal Fistula / complications Humans Lung / radionuclide imaging* Lung Neoplasms / drug therapy Male Middle Aged Pneumonia, Aspiration / complications Recurrence Respiratory Distress Syndrome, Adult / etiology, radionuclide imaging* Technetium Tc 99m Aggregated Albumin / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Technetium Tc 99m Aggregated Albumin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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