El-Kersh Karim, Gauhar Umair, Saad Mohamed
Department of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, Kentucky, USA.
BMJ Case Rep. 2014 Jan 17;2014:bcr2013202870. doi: 10.1136/bcr-2013-202870.
Bronchial carcinoid tumours can present with symptoms of distal airway obstruction, local airway irritation or bleeding due to hypervascularity. Presentation with a spontaneous pneumothorax (SP) is rare. We present a case of typical endobronchial carcinoid tumour that presented with a SP. We explored the possible mechanisms of this rare presentation, especially the check-valve mechanism of airway obstruction, which was evident during the fiberoptic bronchoscopic examination.
支气管类癌肿瘤可表现为远端气道阻塞、局部气道刺激症状或因血管丰富导致的出血。以自发性气胸(SP)为表现较为罕见。我们报告一例典型的支气管内类癌肿瘤以SP为表现的病例。我们探讨了这种罕见表现的可能机制,尤其是气道阻塞的单向活瓣机制,这在纤维支气管镜检查中很明显。