Air leaks localized with lung ventilation SPECT

Gaëtane Ceulemans, Linda De Meirleir, Marleen Keyaerts, D. Smets, Douwe Erwin Verdries, Walter Vincken, Hendrik Everaert

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 61-year-old man with severe chronic obstructive pulmonary disease presented to our hospital with recurrence of a right-sided spontaneous secondary pneumothorax. Thoracoscopic abrasion of the parietal pleura was performed, but an important air leak persisted. Presumed to originate from a bulla in the right upper lobe, bullectomy and pleural decortication were performed, but leakage remained. Lobectomy was considered, and quantitative ventilation/perfusion SPECT was performed to predict the functional outcome.Fused high-resolution CT/Tc Technegas images localized leakage not only to a bleb in the right upper lobe but also to the subcutaneous emphysema in the thoracic wall. The air leak resolved after conservative treatment.
Original languageEnglish
Pages (from-to)1182-1183
Number of pages2
JournalClin Nucl Med
Volume37
Issue numberDecember
Publication statusPublished - Dec 2012

Keywords

  • SPECT
  • Air
  • Humans
  • Lung
  • Lung Diseases, Obstructive
  • Male
  • Middle aged
  • Pulmonary Ventilation
  • Tomography

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