Estadísticas

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  "cita" => "Cir Esp. 1999;65:526-7"
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      "titulo" => "Divertículo gigante de colon"
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          "titulo" => "GIANT DIVERTICULUM OF THE COLON"
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    "cita" => "Cir Esp. 1999;65:516-25"
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      "titulo" => "Criterios de selección para la cirugía de las metástasis hepáticas de origen colorrectal: una visión general"
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          "titulo" => "SELECTION CRITERIA FOR SURGICAL TREATMENT OF LIVER METASTASES DERIVED FROM COLORECTAL CANCER. AN OVERVIEW"
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          "autoresLista" => "J Herrera, JM Lera, E Balén, D Casanova, F Pardo"
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    "titulo" => "Nódulo pulmonar cavitado con hemoptisis: infarto pulmonar bilateral organizado"
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      "en" => array:1 [
        "titulo" => "CAVITARY PULMONARY NODULE WITH HEMOPTYSIS: ORGANIZED BILATERAL PULMONARY INFARCTION"
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            1 => "Videotoracoscopia"
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      "es" => array:1 [
        "resumen" => "Los infartos pulmonares son una rara complicación del embolismo pulmonar. Estos infartos no sépticos son una causa poco frecuente de lesión cavitada pulmonar. Al no presentar una clínica ni radiología específica, en algunos casos es precisa la exéresis de la lesión torácica para llegar al diagnóstico definitivo. Presentamos un caso de un paciente de 28 años con historia de 2 semanas con tos, hemoptisis y dolor pleurítico sin fiebre. Toda la batería serológica era normal. Se apreciaron, en la radiografía torácica simple, un nódulo en el lóbulo superior derecho y otro en el lóbulo inferior izquierdo. En la TAC torácica se apreciaba una lesión cavitada en el lóbulo superior derecho y otra sólida de bordes nítidos en el lóbulo inferior izquierdo. Tanto la fibrobroncoscopia con biopsia transbronquial como la biopsia con aguja fina no fueron diagnósticas, por lo que se procedió a la exéresis de ambos nódulos no periféricos por videotoracoscopia previa colocación de un arpón e instilación de azul de metileno. Ambos nódulos correspondían a un infarto pulmonar bilateral organizado."
      ]
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        "resumen" => "Pulmonary infarcts are uncommon, nonseptic complications of pulmonary embolism that are a rare cause of cavitary lung lesions. Given the absence of specific clinical or radiological features, in some cases it is necessary to excise the thoracic mass to determine the definitive diagnosis. We present the case of a 28-year-old man with a two-week history of cough, hemoptysis and pleuritic pain, but no evidence of fever. The results of all the serological studies performed were normal. Plain chest X-ray revealed a nodule in right upper lobe and another in left lower lobe. Chest computed tomography revealed a cavitary lesion in right upper lobe and a solid, well-defined mass in left lower lobe. Neither fiberoptic bronchoscopy with transbronchial biopsy nor fine needle aspiration cytology were diagnostic and both non-peripheral nodules were excised using videothoracoscopy following insertion of a hookwire and methylene blue staining. Organized bilateral pulmonary infarct was confirmed in both nodules."
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