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一位因从树上坠落而胸痛的患者的偶然图像:斯韦尔-詹姆斯-麦克劳德综合征?

An incidental image of a patient with chest pain after fall from a tree: Swyer-James-MacLeod syndrome?

机构信息

Bozok University, Department of Emergency Medicine, Yozgat, Turkey.

Bozok University, Department of Emergency Medicine, Yozgat, Turkey.

出版信息

Am J Emerg Med. 2018 May;36(5):909.e5-909.e6. doi: 10.1016/j.ajem.2018.02.008. Epub 2018 Feb 9.

Abstract

Unilateral hyperlucent lung was firstly described by Swyer and James 1950s. After that, some patients with same disease were detected by Macleod . Then this syndrome was named as Swyer- James-Macleod syndrome (SJMS), and this syndrome includes a smaller or normal sized unilateral hyperlucent lung. The diagnosis of SJMS includes a detailed evaluation and the exclusion of other reasons of unilateral hypertranslucency. In literature, small groups of patients with this syndrome have been described. This paper reports a 45-year-old male presented to our emergency department with chest pain after fall from height 24 h ago. In his computed tomography no rib fracture, pneumothorax and hemothorax. But an abnormal image (5.5 cm hyperlucent area) was seen in his left lung. This report aims to present one of incidentally diagnosed rare case of SJMS.

摘要

单侧透亮肺于 20 世纪 50 年代由 Swyer 和 James 首次描述。此后,Macleod 检测到一些具有相同疾病的患者。然后,该综合征被命名为 Swyer-James-Macleod 综合征(SJMS),该综合征包括单侧透亮肺较小或正常大小。SJMS 的诊断包括详细评估和排除单侧过度透亮的其他原因。文献中已经描述了一小部分具有该综合征的患者。本文报告了一例 45 岁男性,24 小时前从高处坠落导致胸痛就诊于我院急诊科。在其计算机断层扫描中未见肋骨骨折、气胸和血胸。但在他的左肺中发现了一个异常影像(5.5cm 透亮区)。本报告旨在介绍一例偶然诊断的罕见 SJMS 病例。

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