[A 49 year old male with a giant pulmonary bulla--a case report and review of the literature].

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

Laeknabladid

journal_title

Laeknabladid

authors

Asgeirsson H,Lúdvíksdóttir D,Kjartansson O,Gudbjartsson T

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

673-7

issue

10

eissn

0023-7213

issn

1670-4959

journal_volume

94

pub_type

杂志文章,评审
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  • [Aortic valve replacement for aortic stenosis in Iceland 2002-2006: Long term complications and survival].

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  • [Diseases in the esophagus, stomach and duodenum: is Helicobacter pylori to blame?].

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    authors: Bjœrnsson B,Oervar K,Theodórs A

    更新日期:2000-03-01 00:00:00

  • [Climateric symptoms and hormone replacement treatment among 50 years old Icelandic women.].

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    doi:

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  • [Closed needle pleural biopsy in Iceland 1990-1999.].

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    doi:

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    更新日期:2003-03-01 00:00:00

  • [Antibiotic use and misuse at the National University Hospital, Iceland.].

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    doi:

    authors: Gudjonsson AT,Kristinsson KG,Gudmundsson S

    更新日期:1996-01-01 00:00:00

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    doi:

    authors: Thorlacius S,Stefánsson SB,Steingrímsdóttir L

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  • [Gatekeeping and referrals from GPs to cardiologists: patients' opinions and registration of information flow].

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    doi:

    authors: Jónsdóttir G,Briem H,Blöndal T,Pálsson G,Olafsson S,Gudnason T

    更新日期:2006-10-01 00:00:00

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    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...

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    authors: Sigurdardottir V,Einarsson B,Sigfusson N,Harðarson T

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  • [Body dysmorphic disorder: Symptoms, prevalence, assessment and treatment].

    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...

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    doi:

    authors: Sveinsdottir EG,Jonsson OT

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  • [Cerebral arteriovenous malformations - overview].

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    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...

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  • [Case report: Seminal vesicle cyst with ipsilateral renal agenesis].

    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. ...

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  • [Beta-lactam allergy with special reference to Iceland].

    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

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    doi:

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  • [Multiple sclerosis and childbirth: Relapse frequency and pregnancy outcome. A hospital-based retrospective study].

    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...

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  • [Treatment of schizophrenic patients with depot-neuroleptics.].

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    doi:

    authors: Sigursteinsson G,Thorleifsson K

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  • [Fitness for work after vocational rehabilitation organized by the State Social Security Institute of Iceland.].

    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 ...

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    doi:

    authors: Thorlacius S,Guðmundsson GK,Jónsson FH

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  • [Aortic valve replacement for aortic stenosis in Iceland 2002-2006: Indications and short term complications].

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    doi:

    authors: Ingvarsdóttir IL,Viktorsson SA,Hreinsson K,Sigurdsson MI,Helgadóttir S,Arnórsson P,Danielsen R,Gudbjartsson T

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    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...

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    doi:

    authors: Pórarinsson BL,Jónasson L,Jónsdóttir B,Guethmundsson G

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    doi:

    authors: Gardarsson HG,Hardarson T,Helgason T

    更新日期:1997-12-01 00:00:00

  • [Experience of Icelandic adults of corporal punishment and abuse in childhood].

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  • [Cerebral ischemia/infarction - epidemiology, causes and symptoms].

    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...

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    pub_type: 杂志文章,评审

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    更新日期:2014-05-01 00:00:00

  • [Role of Thrombectomy in Acute Ischemic Stroke].

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    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2018.01.169

    authors: Sigurdsson AP

    更新日期:2018-01-01 00:00:00

  • [Homocysteine, folate and cobalamin in Icelandic men and women.].

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    doi:

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