Abstract:
:A 49 year old previously healthy smoker was diagnosed with a giant bulla in his right lung, following a history of dry cough, repeated upper airway infections and increasing dyspnea for several years. Computed tomography (CT) confirmed the presence of a giant bulla in the right inferior lobe and several smaller bullae in the right superior lobe. The giant bulla was 17 cm in diameter, occupying more than half of the right hemithorax. On spirometry a moderate restrictive and a mild obstructive pattern was observed. Lung volume was measured with two different techniques, nitrogen washout and plethysmography, with volume of the bullae estimated at 2.9 L, similar to the 3.2 L determined by CT. The patient underwent thoracotomy, where the giant bulla together with the inferior lobe were removed with lobectomy and the small bullae in the superior lobe with wedge resection. Five months postoperatively the patient is in good health and is back at work. Postoperatively significant improvements in spirometry values and lung volume measurements have been documented. This case demonstrates that giant bullae can be successfully managed with surgical resection and their size can be determined by different techniques, including lung volume measurements and chest CT.
journal_name
Laeknabladidjournal_title
Laeknabladidauthors
Asgeirsson H,Lúdvíksdóttir D,Kjartansson O,Gudbjartsson Tsubject
Has Abstractpub_date
2008-10-01 00:00:00pages
673-7issue
10eissn
0023-7213issn
1670-4959journal_volume
94pub_type
杂志文章,评审相关文献
Laeknabladid文献大全abstract::Enuresis is defined as uncontrolled voiding during day or night after normal control is expected. It is a common disorder, which can be divided into primary and secondary. We looked at the health files from children born between 1986-1988, written when they started school. There were 62 children which were said to hav...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::Demand for Vocational Rehabilitation in Iceland has been steadily rising in recent years where the presence of young patients has increased proportionally the most. It is essential that public spending is efficient without compromising the treatment quality. It is worth exploring if a solution for increasing the effic...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2019.06.236
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To investigate long-term complications and survival following aortic valve replacement (AVR) in patients with aortic stenosis (AS) in Iceland. MATERIAL AND METHODS:Included were 156 patients (average age 71.7 yrs, 64.7% males) that underwent AVR for AS at Landspitali between 2002 and 2006. A mechanical prost...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2011.11.395
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To analyze the epidemiology of Kawasaki disease in Icelandic children and its complications. METHODS:A retrospective analysis of all cases of Kawasaki disease and atypical Kawasaki disease in children in Iceland from 1996-2005. Chart records were reviewed and children diagnosed at Landspítali - University Ho...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2012.02.414
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:In the mid twentieth century gastric cancer was the most common type of cancer in Iceland. In recent decades, however, the incidence rate of gastric cancer has decreased markedly and currently only represents 2-3% of cancer cases. The Laurén classification system classifies adenocarcinoma into two types, int...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2016.03.70
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To evaluate a) how many of symptomatic patients referred for upper endoscopy have active H. pylori infection, b) the correlation between the indications for upper endoscopy and endoscopic diagnosis and c) the association between H. pylori and organic disease in the upper gastrointestinal tract. MATERIAL AND ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:The objective of the research was to estimate the prevalence and treatment of climacteric symptoms among 50 years old women, including which doctors are prescribing the hormone replacement treatment (HRT) and what information is given about the risk and benefit of HRT. MATERIAL AND METHODS:All (n=956) 50 yea...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:Closed pleural biopsy is done to determine causes of pleural effusion after fluid analysis has been nondiagnostic. The aim of the study was to evaluate results of closed pleural biopsy in Iceland. MATERIAL AND METHODS:All pathology reports of closed pleural biopsy from 1990-1999 at the Department of Patholog...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract:INTRODUCTION:Antibiotics are responsible for 20-25% of the total drug-cost in the larger hospitals in Iceland. Studies from other countries, both in Europe and North-America suggest that 40-70% of both antibiotic therapy and prophylaxis is inappropriate in the larger teaching hospitals. We undertook a prospective study...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:To investigate changes in the prevalence of disability pension related to obesity in Iceland from 1992 to 2004. MATERIAL AND METHODS:Data were obtained from the disability register of the State Social Security Institute and Statistics Iceland for the years 1992 and 2004. Prevalence of disability pension rel...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:INTRODUCTION:Formal referrals to medical specialists have not been required in Iceland since 1984. In 2006, however, referrals were required for patients to receive reimbursement for cardiologists fees. We studied patients' experiences and opinions on the referral process and explored the potential for quality improvem...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2010.05.293
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Viral hepatitis B and C are a major health problem worldwide. The prevalence of these diseases varies throughout the world. In Iceland, the incidence of hepatitis B and C has increased in recent years. At the same time, the number of immigrants from countries where viral hepatitis is endemic, has also increa...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract::The choice of antihypertensive therapy in elderly Icelanders is unknown. In the database of the Icelandic Heart Association 1145 men, aged 70-84 were alive in 1994. Eight hundred thirty-four came to the Heart Association Clinic, 429 of whom either had hypertension or were found to be hypertensive on examination. The p...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Body dysmorphic disorder (BDD) is a relatively common disorder characterized by a preoccupation with nonexistent or slight defects in appearance. BDD usually begins during childhood or adolescence. The preoccupation with the perceived appearance defect typically occurs for many hours a day and is often followed by rep...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2019.03.222
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Increased medical and technical knowledge has saved the lives of more patients than was possible a few decades ago. This has also raised many ethical questions. It is now regarded to be justifiable to limit treatment for some terminally ill patients because certain treatment options are not fel...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract:UNLABELLED:Cerebral arteriovenous malformations (AVMs) are uncommon but can cause intracerebral hemorrhage with grave disability or death. AVMs can even cause focal neurological symptoms, seizures and headache. The treatment of AVMs is complex. The most common treatment forms are microsurgery, stereotactic radiotherapy...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2016.09.96
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:Persistent physical symptoms that are medically unexplained can result in significant functional impairment. The aim of this study was to estimate the prevalence of persistent physical symptoms among people seeking primary healthcare in Reykjavík, Iceland, how they relate to functional impairment, symptoms...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2021.02.620
更新日期:2021-02-01 00:00:00
abstract::We describe a case of right seminal vesicle cyst with ipsilateral renal agenesis in a 25 year old male. The cyst caused severe pain syndrome with progressive perineal pain and pain on defecation and ejaculation. The cyst was surgically removed and the patient became asymtomatic. ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2010.10.320
更新日期:2010-10-01 00:00:00
abstract::Allergies to antibiotics are reported by 8-14% of the adult population out of which half is thought to be due to penicillins. Women are two thirds of those. It is estimated that 20.000 Icelanders believe they are allergic to beta-lactam drugs. Less than 10% of suspected penicillin allergy can be proved by allergy test...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract:INTRODUCTION:Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system which affects young people, especially women. The aim of the study was to examine the disease profile of MS during pregnancy and postpartum as well as pregnancy outcomes in women with MS compared to a control group. Suc...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2020.12.612
更新日期:2020-01-01 00:00:00
abstract::During almost four decades neuroleptic drugs have been the main weapon in doctor's armamentarium against schizophrenia and some other major psychiatric disorders. In Iceland seven different depot-neuroleptics from three subgroups are used. The main indication for depot-neuroleptics is to insure that the patient gets t...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:The evaluation of a vocational rehabilitation programme initiated by the State Social Security Institute in Iceland (SSSI) in 1999 with the aim of reducing disability. MATERIAL AND METHODS:New disability claimants who had been unable to work because of illness for a few months at least were referred by SSSI ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:Information on surgical outcome of aortic valve replacement (AVR) has not been available in Iceland. We therefore studied the indications, short-term complications and operative mortality in Icelandic patients that underwent AVR with aortic stenosis. MATERIAL AND METHODS:This was a retrospective study includ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2011-10-01 00:00:00
abstract:UNLABELLED:A fifty six year old woman with history of asthma visited a respiratory specialist. She had been diagnosed with asthma more than a year previously in a primary care clinic. She was treated with inhaled medications without good response. A respiratory specialist diagnosed tracheal narrowing secondary to thyro...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:This study was conducted to investigate the prevalence of alcohol abuse and dependency among elderly women in Iceland and to make an assessment of the sensitivity and specificity of liver function tests and mean corpuscular volume (MCV) in the diagnosis of alcohol abuse. METHODS:The group was made of 280 wom...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract:INTRODUCTION:Corporal punishment and abuse of children can have a negative impact on their health and well-being. The aim is to examine on Icelandic adults, experience of corporal punishment as children, its prevalence, justification as victims, and its impact on the assessment of their upbringing. MATERIALS AND METHO...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2013.05.496
更新日期:2013-05-01 00:00:00
abstract::Eight of ten strokes are due to cerebral ischemia, two from cerebal hemorrhage. Stroke is the most common cause of disability, the second commonest cause of dementia and the fourth commonest cause of death in the developed world. The incidence of stroke is 150-200/100.000 individuals/ year. One of every seven individu...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2014.05.543
更新日期:2014-05-01 00:00:00
abstract::This article discusses endovascular thrombectomy in acute ischemic stroke. This treatment is vascular medicine's most significant leap in years. This treatment is complicated, and various technical aspects are discussed. Close cooperation is required between different specialties since patient selection for treatment ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2018.01.169
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To determine reference intervals and interquartile ranges for total homocysteine (Hcy) folate and cobalamin in Icelandic men and women and to evaluate the correlation of Hcy to serum levels of the vitamins folate and cobalamin. MATERIAL AND METHODS:Blood samples were collected from 449 individuals over a per...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:Information is scarce concerning the incidence of anorexia nervosa (AN) in psychiatric facilities in Iceland. The aim of this study was to describe the incidence of admissions, comorbidity and mortality of patients who were admitted to psychiatric units in Iceland, diagnosed with AN in 1983-2008. MATERIAL AN...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2010.12.331
更新日期:2010-12-01 00:00:00