Wachsmann Jason W, Kim Chun K
Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
World J Nucl Med. 2015 Sep-Dec;14(3):202-4. doi: 10.4103/1450-1147.163255.
We present the case report of a patient 83 year old female who developed progressive shortness of breath and subsequently underwent scintigraphic evaluation of her symptoms with a ventilation/perfusion scintigraphic exam. A matched perfusion defect was seen involving the basal segments of the left lower lobe. Following this, the patient was examined with a contrast enhanced CT of the chest to further investigate the defect, which revealed compression of the bronchi and vasculature of the left lower lobe basal segments by the hernia larger than the actual hernia. To our knowledge there has not been a case report of a large hiatal hernia as a cause of matched lower lobe defect.
我们报告一例83岁女性患者的病例，该患者出现进行性气短，随后通过通气/灌注闪烁扫描检查对其症状进行了闪烁扫描评估。发现左肺下叶基底段存在匹配的灌注缺损。在此之后，对该患者进行了胸部增强CT检查以进一步研究该缺损，结果显示左肺下叶基底段的支气管和血管受到大于实际疝的疝的压迫。据我们所知，尚未有关于大的食管裂孔疝作为下叶匹配缺损原因的病例报告。
