Yellow bronchoscopy: A severe case of tracheal and bronchial Jaundice
Read
11140
Timeswas read the article
2892
Total PDF
8248
Total HTML
Share statistics
array:20 [ "pii" => "X0873215915365019" "issn" => "08732159" "doi" => "10.1016/j.rppnen.2015.06.003" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2015;21:284-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4933 "formatos" => array:3 [ "EPUB" => 244 "HTML" => 3766 "PDF" => 923 ] ] "itemSiguiente" => array:16 [ "pii" => "X0873215915365027" "issn" => "08732159" "doi" => "10.1016/j.rppnen.2015.05.002" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2015;21:285-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3761 "formatos" => array:3 [ "EPUB" => 244 "HTML" => 2578 "PDF" => 939 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "Misconceptions in the assessment of cough peak flow measurements for extubation or decanulation protocols" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "286" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Chiou, J.R. Bach, M.R. Gonçalves, L. Vudayagiri" "autores" => array:4 [ 0 => array:2 [ "Iniciales" => "M." "apellidos" => "Chiou" ] 1 => array:2 [ "Iniciales" => "J.R." "apellidos" => "Bach" ] 2 => array:2 [ "Iniciales" => "M.R." "apellidos" => "Gonçalves" ] 3 => array:2 [ "Iniciales" => "L." "apellidos" => "Vudayagiri" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0873215915365027?idApp=UINPBA00004E" "url" => "/08732159/0000002100000005/v0_201604141143/X0873215915365027/v0_201604141143/en/main.assets" ] "itemAnterior" => array:16 [ "pii" => "X0873215915365000" "issn" => "08732159" "doi" => "10.1016/j.rppnen.2015.05.003" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2015;21:282-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3562 "formatos" => array:3 [ "EPUB" => 238 "HTML" => 2449 "PDF" => 875 ] ] "en" => array:9 [ "idiomaDefecto" => true "titulo" => "Late onset congenital cystic adenomatous malformation associated with intra-lobar pulmonary sequestration" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "282" "paginaFinal" => "284" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "320v21n05-90436500fig1.jpg" "Alto" => 2363 "Ancho" => 1795 "Tamanyo" => 2143579 ] ] "descripcion" => array:1 [ "en" => "(A) The first chest CT performed, showing a heterogeneous posteromedial consolidation in the left lower lobe comprising multiple cysts. (B) The second chest CT showing posteromedial hepatization of the left lower field, compatible with superimposed infection. (C) CT angiography showing the anomalous artery arising from the thoracic aorta. (D) CT angiography images showing the venous drainage (arrow) to the pulmonary veins. (E¿F) 3D CT reconstructions showing the anomalous artery." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Silva, J. Vale, A. Reis" "autores" => array:3 [ 0 => array:2 [ "Iniciales" => "E." "apellidos" => "Silva" ] 1 => array:2 [ "Iniciales" => "J." "apellidos" => "Vale" ] 2 => array:2 [ "Iniciales" => "A." "apellidos" => "Reis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0873215915365000?idApp=UINPBA00004E" "url" => "/08732159/0000002100000005/v0_201604141143/X0873215915365000/v0_201604141143/en/main.assets" ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Yellow bronchoscopy: A severe case of tracheal and bronchial Jaundice" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "284" "paginaFinal" => "285" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Gonçalves, C. Ribeiro, A. Oliveira" "autores" => array:3 [ 0 => array:4 [ "Iniciales" => "A." "apellidos" => "Gonçalves" "email" => array:1 [ 0 => "ana_f_goncalves@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "Iniciales" => "C." "apellidos" => "Ribeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 2 => array:3 [ "Iniciales" => "A." "apellidos" => "Oliveira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Pulmonology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "correspondencia" => "Corresponding author. ana_f_goncalves@hotmail.com" ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "320v21n05-90436501fig1.jpg" "Alto" => 1504 "Ancho" => 1500 "Tamanyo" => 670326 ] ] "descripcion" => array:1 [ "en" => "(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius." ] ] ] "textoCompleto" => "<p class="elsevierStylePara">Dear Editor,</p><p class="elsevierStylePara">Jaundice, which can be caused by a very wide variety of conditions, results from the increased levels of bilirubin in the blood. Due to the affinity of bilirubin to elastin, jaundice is best detected by examining the skin and sclera, but can also be found in others elastin-rich tissues such as skin, sclera, intima of the vessel wall and ligaments.</p><p class="elsevierStylePara">We present the case of a 68-year-old nonsmoker male who was referred to the emergency department for evaluation of 1-week history of jaundice, light-colored stools, dark urine, anorexia and weight loss. Blood work showed an elevated direct bilirubin 9.34 mg/dL (normal, 0–1 mg/dL) and he was diagnosed with a carcinoma of the pancreas head.</p><p class="elsevierStylePara">Bronchoscopy was performed during a pulmonary nodule investigation and revealed a nodule on the left side of the epiglottis and severe vocal cords and bronchial tree jaundice (<a href="#f0005" class="elsevierStyleCrossRefs">Fig. 1</a>).</p><a name="f0005" class="elsevierStyleCrossRefs"></a><p class="elsevierStylePara"><img src="320v21n05-90436501fig1.jpg" alt="(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius."></img></p><p class="elsevierStylePara">Fig. 1. (A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius.</p><p class="elsevierStylePara">Bronchoscopy is not a frequently performed exam in patients with such high levels of bilirubin in the blood. In the present case bronchoscopy was performed due to the nodule location, making it difficult to access through transthoracic lung biopsy and due to the need for pulmonary metastasis exclusion in order to get a correct staging.</p><p class="elsevierStylePara">The high amount of elastin present in the airways makes it possible to observe a fine yellow coloration characteristic of jaundice in the bronchial tree, as observed in these endoscopic images of rare beauty and iconographic interest.</p><a name="sec0005" class="elsevierStyleCrossRefs"></a><span class="elsevierStyleSectionTitle">Conflict of interest</span><p class="elsevierStylePara">The authors have no conflicts of interest to declare.</p><p class="elsevierStylePara">Corresponding author. ana_f_goncalves@hotmail.com</p>" "pdfFichero" => "320v21n05a90436501pdf001.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "320v21n05-90436501fig1.jpg" "Alto" => 1504 "Ancho" => 1500 "Tamanyo" => 670326 ] ] "descripcion" => array:1 [ "en" => "(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius." ] ] 1 => array:6 [ "identificador" => "fig2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "descripcion" => array:1 [ "en" => "(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius." ] ] ] ] "idiomaDefecto" => "en" "url" => "/08732159/0000002100000005/v0_201604141143/X0873215915365019/v0_201604141143/en/main.assets" "Apartado" => array:4 [ "identificador" => "50820" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Letter to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000002100000005/v0_201604141143/X0873215915365019/v0_201604141143/en/320v21n05a90436501pdf001.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0873215915365019?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 16 | 4 | 20 |
| 2024 October | 80 | 39 | 119 |
| 2024 September | 91 | 26 | 117 |
| 2024 August | 103 | 36 | 139 |
| 2024 July | 68 | 37 | 105 |
| 2024 June | 96 | 25 | 121 |
| 2024 May | 59 | 57 | 116 |
| 2024 April | 76 | 52 | 128 |
| 2024 March | 78 | 44 | 122 |
| 2024 February | 49 | 269 | 318 |
| 2024 January | 46 | 34 | 80 |
| 2023 December | 61 | 31 | 92 |
| 2023 November | 69 | 33 | 102 |
| 2023 October | 65 | 38 | 103 |
| 2023 September | 73 | 31 | 104 |
| 2023 August | 77 | 26 | 103 |
| 2023 July | 52 | 37 | 89 |
| 2023 June | 57 | 15 | 72 |
| 2023 May | 66 | 34 | 100 |
| 2023 April | 85 | 27 | 112 |
| 2023 March | 79 | 23 | 102 |
| 2023 February | 67 | 27 | 94 |
| 2023 January | 61 | 20 | 81 |
| 2022 December | 88 | 19 | 107 |
| 2022 November | 78 | 39 | 117 |
| 2022 October | 73 | 39 | 112 |
| 2022 September | 62 | 32 | 94 |
| 2022 August | 58 | 40 | 98 |
| 2022 July | 67 | 40 | 107 |
| 2022 June | 48 | 32 | 80 |
| 2022 May | 81 | 41 | 122 |
| 2022 April | 55 | 43 | 98 |
| 2022 March | 64 | 47 | 111 |
| 2022 February | 52 | 36 | 88 |
| 2022 January | 144 | 35 | 179 |
| 2021 December | 64 | 37 | 101 |
| 2021 November | 92 | 40 | 132 |
| 2021 October | 91 | 43 | 134 |
| 2021 September | 80 | 30 | 110 |
| 2021 August | 74 | 25 | 99 |
| 2021 July | 76 | 17 | 93 |
| 2021 June | 48 | 25 | 73 |
| 2021 May | 85 | 32 | 117 |
| 2021 April | 112 | 50 | 162 |
| 2021 March | 182 | 32 | 214 |
| 2021 February | 133 | 26 | 159 |
| 2021 January | 76 | 19 | 95 |
| 2020 December | 103 | 10 | 113 |
| 2020 November | 210 | 23 | 233 |
| 2020 October | 108 | 17 | 125 |
| 2020 September | 92 | 21 | 113 |
| 2020 August | 57 | 19 | 76 |
| 2020 July | 69 | 26 | 95 |
| 2020 June | 66 | 23 | 89 |
| 2020 May | 48 | 17 | 65 |
| 2020 April | 76 | 11 | 87 |
| 2020 March | 69 | 14 | 83 |
| 2020 February | 47 | 23 | 70 |
| 2020 January | 73 | 21 | 94 |
| 2019 December | 51 | 13 | 64 |
| 2019 November | 61 | 15 | 76 |
| 2019 October | 60 | 18 | 78 |
| 2019 September | 61 | 12 | 73 |
| 2019 August | 100 | 11 | 111 |
| 2019 July | 96 | 22 | 118 |
| 2019 June | 140 | 16 | 156 |
| 2019 May | 143 | 20 | 163 |
| 2019 April | 161 | 30 | 191 |
| 2019 March | 110 | 12 | 122 |
| 2019 February | 96 | 11 | 107 |
| 2019 January | 113 | 21 | 134 |
| 2018 December | 83 | 13 | 96 |
| 2018 November | 14 | 2 | 16 |
| 2018 October | 32 | 7 | 39 |
| 2018 September | 30 | 9 | 39 |
| 2018 August | 197 | 22 | 219 |
| 2018 July | 231 | 17 | 248 |
| 2018 June | 130 | 14 | 144 |
| 2018 May | 180 | 18 | 198 |
| 2018 April | 152 | 13 | 165 |
| 2018 March | 215 | 24 | 239 |
| 2018 February | 74 | 13 | 87 |
| 2018 January | 90 | 10 | 100 |
| 2017 December | 78 | 20 | 98 |
| 2017 November | 32 | 9 | 41 |
| 2017 October | 26 | 10 | 36 |
| 2017 September | 28 | 22 | 50 |
| 2017 August | 31 | 15 | 46 |
| 2017 July | 27 | 9 | 36 |
| 2017 June | 22 | 11 | 33 |
| 2017 May | 18 | 12 | 30 |
| 2017 April | 13 | 3 | 16 |
| 2017 March | 11 | 5 | 16 |
| 2017 February | 8 | 5 | 13 |
| 2017 January | 9 | 5 | 14 |
| 2016 December | 13 | 8 | 21 |
| 2016 November | 19 | 5 | 24 |
| 2016 October | 15 | 1 | 16 |
| 2016 September | 25 | 3 | 28 |
| 2016 August | 17 | 6 | 23 |
| 2016 July | 16 | 12 | 28 |
| 2016 June | 6 | 11 | 17 |
| 2016 May | 24 | 6 | 30 |
| 2016 April | 59 | 2 | 61 |
| 2016 March | 84 | 27 | 111 |
| 2016 February | 64 | 25 | 89 |
| 2016 January | 41 | 21 | 62 |
| 2015 December | 75 | 36 | 111 |
| 2015 November | 67 | 50 | 117 |
| 2015 October | 88 | 66 | 154 |
| 2015 September | 137 | 115 | 252 |
Show all
