An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2021-03-08 eCollection Date: 2021-01-01 DOI:10.1155/2021/6658690
Erica Rego, Ahmed Abdelmeguid, Yuqi Kevin Wang, Karuna Dewan
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引用次数: 1

Abstract

Objective: Dysphagia after pneumonectomy is uncommon but concerning. The purpose of this paper is to present a case of dysphonia secondary to postpneumonectomy syndrome. Case Report. A 66-year-old female with stage IIIa adenocarcinoma of the lung was treated with a left pneumonectomy. Three years later, she presented with severe dysphagia, dyspnea, and dysphonia. Esophagram demonstrated severely deviated esophagus to the left of midline, attributed to prior left-sided pneumonectomy, without clear evidence of any external compression. Chest CT scan showed associated leftward mediastinal shift. This patient was treated with voice therapy and an exclusion diet, as the patient elected not to have surgery.

Conclusion: This is the first reported case of dysphonia accompanying severe dysphagia following left pneumonectomy. While postpneumonectomy syndrome is rare, a high degree of clinical suspicion is recommended when treating patients with history of pneumonectomy.

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吞咽困难的一个不常见原因:肺切除术后综合征。
目的:肺切除术后吞咽困难虽不常见,但值得关注。本文的目的是报告一个继发于肺切除术后综合征的发声障碍病例。病例报告。一例66岁女性IIIa期肺腺癌患者行左侧全肺切除术。三年后,她出现严重的吞咽困难、呼吸困难和发音困难。食管造影显示食管严重偏斜至中线左侧,归因于先前的左侧全肺切除术,无任何明显的外部压迫证据。胸部CT显示左侧纵隔移位。这名患者接受了语音治疗和排他饮食,因为患者选择不做手术。结论:这是首次报道的左侧全肺切除术后伴有严重吞咽困难的吞咽障碍病例。虽然肺切除术后综合征是罕见的,但在治疗有肺切除术史的患者时,建议高度怀疑。
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Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
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审稿时长
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