Placental transmogrification of the lung presenting as giant bullae with soft-fatty components

A 44-year-old man presented with progressive dyspnea and a previous pneumothorax. Chest CT scan showed a mediastinal shift due to giant bullae containing soft tissue and fatty components in the left lower lung Lobe, and a right upper lung lobe partially collapsed. The pulmonary function tests revealed forced vital capacity (FVC) 53% (of the predicted) and forced vital capacity in 1 s (FEV1) 52%. Then, resection of the lower lobe was performed with intention to prevent other pneumothoraxes and to revert the upper lobe collapse. The pathological examination showed a placental. transmogrification of the lung (PTL). One month after the surgery, the patient was asymptomatic, the pulmonary function tests normalized and the upper lobe was well expanded. In conclusion, we described the first CT finding of soft tissue and fatty components within the PTL-related bullae, and the PTL should be considered in the differential diagnosis of pulmonary lesions with soft-fatty and air components. (c) 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

Bulla... Clementis... VIII, confirmationis et innovationis alterius bullae... Gregorii XIII editae super approbatione reductionis monasteriorum ord. sancti Basilii in congregationem...

[Acte pontifical]

Bulla aurea... innovatoria bullae Julü Secundi super sindicatu omnium magistratuū et afficialiū in terris Sanitae Romanae Ecclesiae, exceptis personis Reverendiss. legatorum Cardinalium

[Acte pontifical. 1528-12-01]

1.° Statuta collegii Montis-acuti, a D. Standonth, primo pauperum ejusdem collegii Patre, composita : praemittitur tenor bullae privilegiorum eidem collegio concessorum a Georgio de Ambasia. — 2.° Vita Magistri Joannis Standonth, Doctoris Theologi Parisiensis, et pauperum Montis-acuti Institutoris : per Magistrum Petrum Grisium, Canonicum Regularem et pauperem Caputiatum

Faurianus

1.° Julii Flori chronica omnium temporum, sive chronicon à creatione mundi ad annum Christi 1140. productum : praemittuntur nonnulla manu recentiore scripta, videlicet, 1.° catalogus librorum abbatiae Malleacensis ; 2.° nonnulla ad historiam monasterii Malleacensis pertinentia ; 3.° bulla Gregorii, Papae IX. ad Monachos Malleacenses. — 2.° Chronicon Malleacense ab anno Christi 1225. ad annum 1320. — 3.° Bonifacii VIII. bullae duae ad Philippum Pulchrum, Regem Francorum. — 4.° Iter Hierosolymitanum, sive historia Hierosolymitana ab anno 1095. ad annum 1098. authore Baldrico, Dolensi Episcopo ; edidit Jacobus Bongarsius tomo primo gestorum Dei per Francos. — 5.° Liber de locis sanctis. — 6.° Relatio de constructione monasterii Malleacensis, et de translatione corporis S. Rigomeri : authore Petro, Pictone ; nonnulla sub finem desiderantur.

Mazarinaeus

Bullae diuersorum romanorum Pontificum incipientes à Bonifacio VIII vsque ad S. D. N. Paulum IIII : summa cum diligentia excerpte & in vnum redacte.

Contiene : Capitula obseruanda per aromatarios

Sanctissimi domini nostri Benedicti Papae XIV Constitutiones selectae, necnon bullae, decreta, epistolae, [et]c., correctae, restitutae ac redintegratae ... : pars prima.

Mode of access: Internet.

R.P. Thomae Tamburini Soc. Iesu ... Iuris Diuini, naturalis, et ecclesiastici expedita moralis Explicatio ... Accedit Tractatus Bullae Cruciatae : in theolog rum, Parochorum, confessariorum, sacerdotum imò et poenitentium, necnon Iurisperitorum commodum : cum indicibus necessariis

Mode of access: Internet.

Sanctissimi domini nostri Benedicti Papae XIV Constitutiones selectae, necnon bullae, decreta, epistolae [et]c., correctae, restitutae, ac redintegratae ... : pars secunda.

Mode of access: Internet.

Impugnatio brevis et clara propositionum centum [et] unius cuiusdam novatoris, Presbyteri secularis in Galli, damnatarum a SS. D. N. D. Clemente , D. P. Papa XI. in sua constitutione, quae incipit unigenitus dei filius. urbe publicata orbi fide divina credenda, [et] ad eius exequutionem intimata in hispaniarum regnis per supr. senatum S. inquisitionis cuius bullae definitiones corde creditas ore confitetur, [et] hanc fidei professionem, iurando in verbo sacerdotis, affirmat urbi, [et] orbi /

Mode of access: Internet.

De conciliis generalibus approbatis ac reprobatis breue compendium : Cui etiam accessit bullae in Coena Domini breuis explicatio /

Mode of access: Internet.