A Case of Acute Pulmonary Thromboembolism Developed 2 Days After Cholecystectomy

Ikeda, Yusuke; Sasaki, Ruka; Kushida, Takahisa; Kondo, Masato; Kumagai, Humiaki; Tuburaya, Toshihiko

doi:10.3919/jjsa.69.2352

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2024

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“…Some patients with repeated episodes of alveolar hemorrhage may develop lung fibrotic changes that lead to end-stage lung disease (1-3, 6, 7). In addition, several reports have found that IPH can induce emphysematous changes associated with DAH (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

An Adult Case of Idiopathic Pulmonary Hemosiderosis Associated with Pulmonary Fibrosis and Emphysematous Change

et al. 2024

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A 48-year-old woman was admitted to our hospital with acute respiratory failure. Chest computed tomography showed ground-glass opacity and patchy emphysematous lesions in both lungs. Corticosteroid therapy was effective; however, the disease worsened with the tapering of corticosteroids. Bronchoalveolar lavage revealed hemosiderin-laden macrophages, and video-assisted thoracic surgery showed diffuse interstitial fibrosis with diffuse alveolar hemorrhage (DAH). There was no evidence of vasculitis nor autoimmune diseases. This patient was diagnosed with idiopathic pulmonary hemosiderosis (IPH) that progressed to end-stage pulmonary fibrosis despite treatment. Autopsy demonstrated DAH with pulmonary fibrosis and emphysematous change, suggesting IPH-related pulmonary lesions.

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Section: Introductionmentioning

confidence: 99%