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Acta Médica Peruana
On-line version ISSN 1728-5917
Abstract
TAZZA-QUIROZ, Fernando; VASQUEZ-ALVA, Rolando and ZAPATA-MARTINEZ, Juan. Sudden Acute left pulmonary atelectasis caused by non-Hodgkin’s lymphoma in a patient with an anterosuperior mediastinal tumor. Acta méd. peruana [online]. 2016, vol.33, n.2, pp.150-154. ISSN 1728-5917.
A 23-year old female patient was admitted to Emergency because of an insidious and progressive condition lasting for one month, characterized by dysphonia, hoarseness, laryngeal stridor and respiratory distress. A cervico-thoracic CT scan showed an extrinsic tracheal obstruction, affecting more than 70% of its lumen, and a left bronchial obstruction affecting more than 50% of its lumen. All of a sudden she developed arterial oxygen desaturation and total absence of respiratory sounds in the left hemithorax. A chest X-ray film showed a sudden massive atelectasis of the left lung, which reverted after medical management. The frozen section biopsy specimen showed non-Hodgkin lymphoma. We discuss the timely management in cases of atelectasis.
Keywords : Pulmonary atelectasis; Mediastinal neoplasms; Outpatient care.