An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome

Objective. Dysphagia after pneumonectomy is uncommon but concerning. The purpose of this paper is to present a case of dysphonia secondary to postpneumonectomy syndrome. Case Report. A 66-year-old female with stage IIIa adenocarcinoma of the lung was treated with a left pneumonectomy. Three years la...

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Main Authors: Erica Rego, Ahmed Abdelmeguid, Yuqi (Kevin) Wang, Karuna Dewan
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2021/6658690
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author Erica Rego
Ahmed Abdelmeguid
Yuqi (Kevin) Wang
Karuna Dewan
author_facet Erica Rego
Ahmed Abdelmeguid
Yuqi (Kevin) Wang
Karuna Dewan
author_sort Erica Rego
collection DOAJ
description Objective. Dysphagia after pneumonectomy is uncommon but concerning. The purpose of this paper is to present a case of dysphonia secondary to postpneumonectomy syndrome. Case Report. A 66-year-old female with stage IIIa adenocarcinoma of the lung was treated with a left pneumonectomy. Three years later, she presented with severe dysphagia, dyspnea, and dysphonia. Esophagram demonstrated severely deviated esophagus to the left of midline, attributed to prior left-sided pneumonectomy, without clear evidence of any external compression. Chest CT scan showed associated leftward mediastinal shift. This patient was treated with voice therapy and an exclusion diet, as the patient elected not to have surgery. Conclusion. This is the first reported case of dysphonia accompanying severe dysphagia following left pneumonectomy. While postpneumonectomy syndrome is rare, a high degree of clinical suspicion is recommended when treating patients with history of pneumonectomy.
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spelling doaj-art-577838c5efd24d74af5b511dc5383ae72025-02-03T00:58:51ZengWileyCase Reports in Otolaryngology2090-67652090-67732021-01-01202110.1155/2021/66586906658690An Uncommon Cause of Dysphagia: Postpneumonectomy SyndromeErica Rego0Ahmed Abdelmeguid1Yuqi (Kevin) Wang2Karuna Dewan3New Jersey Medical School, Rutgers University, New Brunswick, NJ, USADivision of Laryngology, Department of Otolaryngology- Head and Neck Surgery, Stanford University, Stanford, CA, USADivision of Neuroradiology, Stanford University, Stanford, CA, USADivision of Laryngology, Department of Otolaryngology- Head and Neck Surgery, Stanford University, Stanford, CA, USAObjective. Dysphagia after pneumonectomy is uncommon but concerning. The purpose of this paper is to present a case of dysphonia secondary to postpneumonectomy syndrome. Case Report. A 66-year-old female with stage IIIa adenocarcinoma of the lung was treated with a left pneumonectomy. Three years later, she presented with severe dysphagia, dyspnea, and dysphonia. Esophagram demonstrated severely deviated esophagus to the left of midline, attributed to prior left-sided pneumonectomy, without clear evidence of any external compression. Chest CT scan showed associated leftward mediastinal shift. This patient was treated with voice therapy and an exclusion diet, as the patient elected not to have surgery. Conclusion. This is the first reported case of dysphonia accompanying severe dysphagia following left pneumonectomy. While postpneumonectomy syndrome is rare, a high degree of clinical suspicion is recommended when treating patients with history of pneumonectomy.http://dx.doi.org/10.1155/2021/6658690
spellingShingle Erica Rego
Ahmed Abdelmeguid
Yuqi (Kevin) Wang
Karuna Dewan
An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
Case Reports in Otolaryngology
title An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
title_full An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
title_fullStr An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
title_full_unstemmed An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
title_short An Uncommon Cause of Dysphagia: Postpneumonectomy Syndrome
title_sort uncommon cause of dysphagia postpneumonectomy syndrome
url http://dx.doi.org/10.1155/2021/6658690
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