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Article
July 1928

BILATERAL LOBAR ATELECTASIS: REPORT OF A CASE WITH AUTOPSY OBSERVATIONS

Author Affiliations

CLEVELAND
From the Department of Pathology, Cleveland Clinic.

Arch Surg. 1928;17(1):82-90. doi:10.1001/archsurg.1928.01140070085004
Abstract

This is a report of a case in which bilateral lobar atelectasis was associated with acute pancreatitis (fat necrosis). The observations made at autopsy suggest a probable explanation for the collapse of the lower lobes of the lungs.

REPORT OF A CASE  A woman, aged 48, who had enjoyed good health until October, 1925, developed symptoms of hyperthyroidism. A thyroidectomy was performed on Nov. 28, 1925. The gland showed slight hyperplasia. Preceding the operation, the basal metabolic rate was plus 56 per cent. In March, 1926, the basal metabolic rate was minus 21 per cent, and the patient showed other signs of hypothyroidism including obesity. After this time, thyroid extract was administered regularly.Four months before her final admission to the hospital, the patient had intermittent colicky pains in the upper right quadrant of the abdomen, which were diagnosed as "gallbladder attacks." Three days before admission (Dec. 4, 1927), the

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