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Air leaks localized with lung ventilation SPECT
Tijdschriftbijdrage - Tijdschriftartikel
A 61-year-old man with severe chronic obstructive pulmonary disease presented to our hospital with recurrence of a right-sided spontaneous secondary pneumothorax. Thoracoscopic abrasion of the parietal pleura was performed, but an important air leak persisted. Presumed to originate from a bulla in the right upper lobe, bullectomy and pleural decortication were performed, but leakage remained. Lobectomy was considered, and quantitative ventilation/perfusion SPECT was performed to predict the functional outcome.Fused high-resolution CT/Tc Technegas images localized leakage not only to a bleb in the right upper lobe but also to the subcutaneous emphysema in the thoracic wall. The air leak resolved after conservative treatment.
Tijdschrift: Clin Nucl Med
ISSN: 0363-9762
Issue: December
Volume: 37
Pagina's: 1182-1183
Jaar van publicatie:2012
Trefwoorden:SPECT, Air, Humans, Lung, Lung Diseases, Obstructive, Male, Middle aged, Pulmonary Ventilation, Tomography