Respirology Case ReportsPub Date : 2025-03-20eCollection Date: 2025-03-01DOI: 10.1002/rcr2.70156
Joseph Derry, Harshana Bandara
{"title":"A Spontaneous Pneumomediastinum During an Asthma Exacerbation.","authors":"Joseph Derry, Harshana Bandara","doi":"10.1002/rcr2.70156","DOIUrl":"10.1002/rcr2.70156","url":null,"abstract":"<p><p>This case highlights the rare possibility of having pneumomediastinum in patients with asthma without having other structural lung disease. This also highlights the importance of vigilant reading of the chest x-ray, including the proper inspection of the soft tissues areas.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70156"},"PeriodicalIF":0.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693932","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":"Cryoextraction of Subacute, Adhesive and Immobile Airway Blood Clot With Short Freezing Time: A Case Report.","authors":"Takashi Nishihara, Takayuki Takimoto, Eiji Sugimoto, Shojiro Minomo, Toru Arai","doi":"10.1002/rcr2.70155","DOIUrl":"10.1002/rcr2.70155","url":null,"abstract":"<p><p>We report a rare case of a patient experiencing persistent exertional dyspnoea due to a subacute, adhesive and immobile airway blood clot following haemoptysis. Cryoextraction with short freezing times, which fragmented the clot into small pieces, proved effective, despite previous reports on acute airway blood clots recommending longer freezing times.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70155"},"PeriodicalIF":0.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659070","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":"A Case of Myasthenia Gravis and Stiff-Person Syndrome That Improved After Extended Thymectomy.","authors":"Shoji Okado, Tetsuya Mizuno, Yuta Kawasumi, Yuka Kadomatsu, Toyofumi Fengshi Chen-Yoshikawa","doi":"10.1002/rcr2.70149","DOIUrl":"10.1002/rcr2.70149","url":null,"abstract":"<p><p>In cases of thymoma with autoimmune disease, extended thymectomy may improve disease symptoms and medication effects. Myasthenia gravis (MG) is the most common complication, but thymoma with Stiff-Person syndrome (SPS) is rare, and there are few reports of surgery. In the present case, we performed robot-assisted extended thymectomy on a 74-year-old man with thymoma who had MG and SPS. At 6 months after surgery, his MG and SPS symptoms had improved and the dose of prednisolone had been reduced, confirming that surgical treatment contributed to disease control. Thus far, only two studies have been published on thymoma surgery in conjunction with MG and SPS, and both have documented the progression of neurological symptoms after surgery. To the best of our knowledge, this is the first report of a resected thymoma with MG and SPS, both of which were controlled after surgery.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70149"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651221","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":"Placement of a Customised Y-Shaped Silicone Stent via the Transthoracic Approach for Closing a Large Bronchial Stump Fistula.","authors":"Junqi Zhu, Chan Xu, Honglei Tao, Shunxin Xin, Weihua Xu","doi":"10.1002/rcr2.70152","DOIUrl":"10.1002/rcr2.70152","url":null,"abstract":"<p><p>Bronchial stump fistula occurs at the site of a lobectomy or segmentectomy and is a specific type of bronchopleural fistula. In addition to complications such as empyema and pneumothorax, a large bronchial stump fistula can result in decreased lung ventilation due to significant air leakage, particularly during general anaesthesia with endotracheal intubation, making closure of the large bronchial stump fistula challenging. The present paper reports on a case of a patient with a large right bronchial stump fistula who had difficulty maintaining normal oxygenation when using conventional tracheal intubation for mechanical ventilation. We utilised left-lung single-lung ventilation during the procedure to ensure adequate oxygenation and inserted a customised Y-shaped silicone stent via the transthoracic approach into the right-side fistula to occlude the bronchial stump fistula. A satisfactory outcome was achieved in this case.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70152"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651232","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 : 2025-03-17eCollection Date: 2025-03-01DOI: 10.1002/rcr2.70148
Hanson Siu, Allison Michaud, Philip G Bardin
{"title":"Very Late Age-Onset Asthma: Mimic of Other Respiratory Diseases and Important Diagnosis Not to Be Missed.","authors":"Hanson Siu, Allison Michaud, Philip G Bardin","doi":"10.1002/rcr2.70148","DOIUrl":"10.1002/rcr2.70148","url":null,"abstract":"<p><p>Asthma is often not recognised and is frequently not diagnosed and treated in older people. This may reflect the belief that the disease is unlikely to manifest late in this group. We report a patient who presented with a respiratory infection and persistent breathlessness after the age of 80. Asthma was not initially suspected, and other diagnoses were pursued. However, subsequent spirometry suggested late age-onset asthma that responded dramatically to appropriate treatment. This case provides a timely reminder for physicians to consider this diagnosis in older patients.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70148"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651334","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":"The Potential of Pulmonary Vasodilators as a Bridging Therapy for Lung Transplantation: Two Cases of Interstitial Pneumonia With Pulmonary Hypertension During the Waiting Period for Lung Transplantation.","authors":"Yuichi Nagata, Tetsutaro Nagaoka, Yuriko Terayama, Yoshifumi Suzuki, Takashi Yoshida, Sachiko Kuriyama, Satomi Shiota, Masaaki Sato, Kazuhisa Takahashi","doi":"10.1002/rcr2.70136","DOIUrl":"10.1002/rcr2.70136","url":null,"abstract":"<p><p>Pulmonary hypertension (PH) associated with interstitial pneumonia (IP) has a poor prognosis, and lung transplantation (LT) is the only effective treatment option for severe cases. However, the waiting period for LT often exceeds the median survival time in these patients, and the effectiveness of pulmonary vasodilators during this period is not well established. In Case 1, a patient with scleroderma-related IP and PH was treated with sildenafil, which resulted in improved PH and successful single-lung transplantation. In Case 2, a patient with rheumatoid arthritis-related IP and PH was treated with tadalafil and macitentan, leading to successful single-lung transplantation. These cases suggest that pulmonary vasodilators may be valuable bridging therapies for patients with PH associated with IP who are awaiting LT.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70136"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651233","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":"Dramatic Metabolic Response to Dual ICI With Chemotherapy in Low PD-L1 NSCLC Case.","authors":"Toshikazu Kumasa, Akina Nigi, Keisuke Iwamoto, Hidetoshi Itani, Shigeto Kondou","doi":"10.1002/rcr2.70150","DOIUrl":"10.1002/rcr2.70150","url":null,"abstract":"<p><p>Despite low PD-L1 (Programmed Death-ligand 1) expression, this patient exhibited a dramatic positron emission tomography-computed tomography response to dual immune checkpoint inhibitors with chemotherapy. This case highlights the potential benefits of combination therapy beyond traditional PD-L1-based treatment selection.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70150"},"PeriodicalIF":0.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651228","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 : 2025-03-14eCollection Date: 2025-03-01DOI: 10.1002/rcr2.70151
Tongxin Yang, Minlong Zhang
{"title":"Imaging of a Case for Primary Pulmonary Dedifferentiated Liposarcoma.","authors":"Tongxin Yang, Minlong Zhang","doi":"10.1002/rcr2.70151","DOIUrl":"https://doi.org/10.1002/rcr2.70151","url":null,"abstract":"<p><p>This clinical image highlights a rare instance of primary pulmonary dedifferentiated liposarcoma, detailing its diagnosis through comprehensive imaging, pathological, and immunohistochemical analyses, followed by successful surgical resection and favourable patient recovery, thereby providing valuable insights for the management of this uncommon tumour.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 3","pages":"e70151"},"PeriodicalIF":0.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651231","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}