{"title":"Endobronchial Valve Treatment for Persistent Air Leak and Endoscopic Lung Volume Reduction of Native Lung in a Single Lung Transplant Recipient: A Case Report and Literature Review.","authors":"Joscha Godts, Isabelle Etienne, Christiane Knoop, Dimitri Leduc, Youri Sokolow, Maarten Vander Kuylen, Olivier Taton","doi":"10.1002/rcr2.70305","DOIUrl":"https://doi.org/10.1002/rcr2.70305","url":null,"abstract":"<p><p>The use of endobronchial valves (EBV) is a recommended treatment for persistent air leak (PAL) and endoscopic lung volume reduction (ELVR) in selected patients with severe emphysema and absence of collateral ventilation. We report the case of a 52-year-old man who was scheduled for a bilateral sequential lung transplantation, converted to a left single lung transplantation (SLTx) after failure to remove the right lung due to prior thoracic surgery. The post-operative course was complicated by a PAL on the right non-transplanted side, unresponsive to prolonged drainage. Placement of EBV in the right upper and middle lobes, following collateral ventilation evaluation with the Chartis system, resulted in the resolution of the air leak and a concomitant lung volume reduction. Based on a literature review regarding ELVR in single-lung transplanted recipients, we suggest that ELVR with EBV could be a therapeutic option with an acceptable safety profile in this unique population.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 8","pages":"e70305"},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regorafenib Induced Interstitial Pneumonia in a Patient With Refractory Rectal Cancer.","authors":"Tomo Tsunoda, Yoshiyuki Oyama, Ryota Miyamoto, Taisuke Ito, Takuro Akashi, Kazuo Tsuchiya, Masaki Ikeda","doi":"10.1002/rcr2.70286","DOIUrl":"https://doi.org/10.1002/rcr2.70286","url":null,"abstract":"<p><p>Regorafenib, a multi-targeted tyrosine kinase inhibitor (TKI), is indicated for refractory colorectal carcinoma, gastrointestinal stromal tumours (GIST), and hepatocellular carcinoma (HCC). We present a case involving a 66-year-old male patient with refractory colorectal cancer who developed interstitial pneumonia as a consequence of regorafenib therapy. Three months following the initiation of regorafenib administration, a chest computed tomography scan revealed bilateral ground-glass opacities, a characteristic finding in interstitial lung disease. This case illustrates a relatively rapid progression of regorafenib-induced interstitial lung disease following its radiographic manifestation. Clinicians should remain vigilant for this potential pulmonary toxicity in patients receiving regorafenib, even with an apparently short latency period after treatment commencement. Early recognition and prompt intervention are crucial in managing this adverse event.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 8","pages":"e70286"},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intractable Pyopneumothorax due to Lemierre's Syndrome Treated With an Endobronchial Watanabe Spigot (EWS).","authors":"Mio Sugino, Masao Hashimoto, Sho Morishima, Ayumi Tonsho, Hiroto Hatano, Yutaro Ueki, Mika Iwasaki, Akane Ishida, Go Naka, Shinyu Izumi, Tatsuo Maeyashiki, Satoshi Nagasaka, Masayuki Hojo","doi":"10.1002/rcr2.70302","DOIUrl":"https://doi.org/10.1002/rcr2.70302","url":null,"abstract":"<p><p>Lemierre's syndrome is a rare condition characterised by internal jugular vein thrombophlebitis and bacteremia caused by anaerobic organisms following an oropharyngeal infection. We report the case of a 29-year-old woman who presented with fever, sore throat, dyspnea, and chest pain. Chest computed tomography (CT) revealed lung suppuration, pneumothorax, and thrombosis of the left internal jugular vein, confirming the diagnosis of Lemierre's syndrome. During treatment, she developed pyothorax with bronchopleural fistulas and intractable pneumothorax. Although antibiotics and thoracic drainage controlled the infection, persistent air leakage and incomplete lung expansion remained. Placement of an endobronchial watanabe spigot (EWS) successfully resolved the air leak, allowing the patient to avoid surgery and be discharged. This case highlights the effectiveness of EWS in managing intractable pyopneumothorax secondary to Lemierre's syndrome.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 8","pages":"e70302"},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2025-07-30eCollection Date: 2025-08-01DOI: 10.1002/rcr2.70304
James Nolan, Jonathan Rodgers, John A Mackintosh
{"title":"<i>ABCA3</i> Surfactant-Related Gene Variant Associated Interstitial Lung Disease in Adults: A Case Series and Review of the Literature.","authors":"James Nolan, Jonathan Rodgers, John A Mackintosh","doi":"10.1002/rcr2.70304","DOIUrl":"https://doi.org/10.1002/rcr2.70304","url":null,"abstract":"<p><p>Surfactant-related gene (SRG) variants are a rare but increasingly recognised cause of interstitial lung disease (ILD) in adults. Lung disease due to pathogenic variants in the adenosine triphosphate (ATP) binding cassette subfamily A member 3 (<i>ABCA3</i>) gene has been extensively described among infants and children but is rarely described in an adult population. The rarity and heterogeneity of lung disease due to <i>ABCA3</i> variants raise significant challenges in recognition, diagnosis and management. In this case series we present three unique adult cases of ILD secondary to compound heterozygous <i>ABCA3</i> variants, review the literature to provide an overview of this disease in an adult population and highlight the role for early genetic testing in young adults presenting with unusual ILD.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 8","pages":"e70304"},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2025-07-30eCollection Date: 2025-08-01DOI: 10.1002/rcr2.70306
Ivan H Huang, Kenneth N Dang, Saarang Kashyap, Alexander J Sweidan
{"title":"Management of Primary Ciliary Dyskinesia in a Kartagener's Syndrome Patient With Total Situs Inversus.","authors":"Ivan H Huang, Kenneth N Dang, Saarang Kashyap, Alexander J Sweidan","doi":"10.1002/rcr2.70306","DOIUrl":"https://doi.org/10.1002/rcr2.70306","url":null,"abstract":"<p><p>Kartagener's syndrome is a rare, autosomal recessive disorder characterised by primary ciliary dyskinesia (PCD) resulting in impaired mucociliary clearance and situs inversus. Common symptoms are chronic recurrent rhinosinusitis, bronchiectasis, otitis media and pneumonia. We report the case of a 62-year-old female patient with complete situs inversus of the chest and abdominal organs. Bronchoscopic washout of the lungs was performed for therapeutic benefit and culturing for targeted antibacterial therapy. Patients affected by Kartagener's syndrome are vulnerable to repeated respiratory infections and lower BMI due to impaired mucociliary clearance from PCD. Multimodal airway clearance through pulmonary hygiene is a research-backed strategy in treating this condition. This case highlights the importance of a comprehensive and effective management approach for patients with symptomatic Kartagener's syndrome and other forms of primary ciliary dyskinesia (PCD).</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 8","pages":"e70306"},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2025-07-28eCollection Date: 2025-07-01DOI: 10.1002/rcr2.70298
Titia van Duin, Carmen Ambarus, Wouter van Es, Sophie van der Mark, Franz Schramel
{"title":"Silicosis Mimicking Lung Malignancy: A Case Series.","authors":"Titia van Duin, Carmen Ambarus, Wouter van Es, Sophie van der Mark, Franz Schramel","doi":"10.1002/rcr2.70298","DOIUrl":"10.1002/rcr2.70298","url":null,"abstract":"<p><p>Silicosis, an important occupational disease, is caused by inhalation of silicon dioxide and can lead to pulmonary inflammation and fibrosis. Silicosis can be misdiagnosed for malignant disease, as both can present with hypermetabolic lesions on FDG-PET imaging. This case series describes three patients who were suspected to have a primary lung malignancy based on FDG-PET findings, but were found to have pulmonary silicosis. With this series, we demonstrate how histologic examination can differentiate between silicosis and malignancy and provide suggestions to help clinicians differentiate between these two illnesses.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70298"},"PeriodicalIF":0.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2025-07-28eCollection Date: 2025-07-01DOI: 10.1002/rcr2.70301
Sathish Krishnan, Vijaya Sivalingam Ramalingam, Chandrika Patel, Jennifer Heisick
{"title":"Primary Pulmonary Leiomyosarcoma: A Case of Prolonged Survival With Radiotherapy and Pazopanib in a 90-Year-Old Female.","authors":"Sathish Krishnan, Vijaya Sivalingam Ramalingam, Chandrika Patel, Jennifer Heisick","doi":"10.1002/rcr2.70301","DOIUrl":"10.1002/rcr2.70301","url":null,"abstract":"<p><p>Primary pulmonary leiomyosarcoma is an exceedingly rare malignancy, comprising less than 0.5% of all lung cancers. Due to its rarity, no standardised treatment guidelines exist. Prognosis is especially poor in cases which are deemed unresectable. We describe the case of a 90-year-old woman who presented with progressive dyspnea and cough over 1 month. Chest computed tomography revealed a large right hilar mass extending into the right upper and middle lobes, abutting the mediastinum and pericardium. Histopathological analysis confirmed primary pulmonary leiomyosarcoma. Given her advanced age and comorbidities, she was not a candidate for surgical intervention. Molecular profiling demonstrated PDL1 expression < 1% and no targetable mutations, ruling out the option of immunotherapy. She was managed with palliative radiotherapy followed by pazopanib therapy. Serial imaging demonstrated disease control, with an extended survival of approximately 5 years. Despite a median reported survival of 14 months, our patient achieved prolonged survival, highlighting the importance of an individualised therapeutic approach for elderly patients with rare malignancies.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70301"},"PeriodicalIF":0.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central Airway Recanalisation Using Dual Debulking With Para-Toluenesulfonamide (CLEAR-DUAL-PTS).","authors":"Chen Yong Tan, Hui-Xin Tan, Yen Shen Wong, Sumithra Appava, Shoban Raj Vasudayan, Noriah Othman, Swee Wei Leong, Mona Zaria Nasaruddin, Jamalul Azizi Abdul Rahaman","doi":"10.1002/rcr2.70285","DOIUrl":"10.1002/rcr2.70285","url":null,"abstract":"<p><p>Pulmonary adenoid cystic carcinoma (PACC) is a rare salivary gland-type malignancy of the tracheobronchial tree, accounting for 0.04%-0.2% of primary lung cancers. It may cause severe malignant airway obstruction (SMAO), necessitating urgent intervention. Surgical resection remains the primary treatment, but inoperability or patient preference may require alternative strategies. We report a case of a 57-year-old non-smoking female with PACC-SMAO who presented with total left lung collapse due to left main bronchus (LMB) involvement. She declined surgery and underwent bronchoscopic dual debulking combining electrocautery snaring with repeated intratumoural para-toluenesulfonamide (PTS) injections. The intervention safely reduced tumour burden, restored airway patency, and significantly improved clinical and radiological outcomes without adverse events. Our case underscores PTS as a promising adjunct therapy for inoperable PACC-SMAO, warranting further investigation into its long-term efficacy and optimal dosing. This innovative approach may significantly redefine palliative care options.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70285"},"PeriodicalIF":0.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Respirology Case ReportsPub Date : 2025-07-24eCollection Date: 2025-07-01DOI: 10.1002/rcr2.70289
Sophie Stewart-Watson, Mohamed Abbas
{"title":"A Case of Complicated Hiatus Hernia Rupture Causing Tension Hydropneumothorax.","authors":"Sophie Stewart-Watson, Mohamed Abbas","doi":"10.1002/rcr2.70289","DOIUrl":"10.1002/rcr2.70289","url":null,"abstract":"<p><p>A 95-year-old female presented to the emergency department with chest pain and difficulty breathing. She had a left-sided tension hydropneumothorax secondary to a spontaneous rupture of a hiatus hernia close to the gastro-oesophageal junction. This has not previously been described in the literature and therefore, the purpose of this report is to pique clinicians' interest and highlight this rare phenomenon as a possible differential diagnosis in patients with a hiatus hernia who present with chest pain. It also demonstrates the importance of the use of oral contrast when using computerised tomography to investigate for oesophageal rupture.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70289"},"PeriodicalIF":0.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nonsurgical Pneumoperitoneum: A Rare Thoracoabdominal Complication of Asthma Exacerbation.","authors":"Takuya Nagahara, Kazuhiko Iwasaki, Saya Tsukida, Akihito Okazaki","doi":"10.1002/rcr2.70294","DOIUrl":"10.1002/rcr2.70294","url":null,"abstract":"<p><p>Asthma-related nonsurgical pneumoperitoneum is extremely rare. This case highlights that even without abdominal symptoms, free air may result solely from asthma exacerbation, and conservative treatment without fasting can be sufficient after surgical causes are excluded.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70294"},"PeriodicalIF":0.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}