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radiology of hydropneumothorax

Carolina Ortega, Carla Gonzales, Manuel E Soto-Martinez, Adriana Yock-Corrales
Hydropneumothorax is an uncommon presentation of a complicated pneumonia, and very few cases in the pediatric population have been reported. This is a case of a 5-month-old patient who presented to the emergency department (ED) with a three-day history of fever, diarrhea, and respiratory distress. His initial assessment suggested a lower respiratory tract infection and because of his respiratory distress and hypoxia a chest X-ray was performed. Other clinical information and radiologic studies will be discussed further, but his chest X-ray suggested a right-sided hydropneumothorax secondary to a complicated pneumonia...
2016: Case Reports in Pediatrics
Lauren A Sharan, Thea P Price, Boyd Hehn, David Manoff, Scott W Cowan
A 22-year-old Asian male presented with fever, non-productive cough, right-sided pleuritic chest pain and was found to have a large right hydropneumothorax. A chest tube was placed. Pleural fluid analysis revealed a lymphocytic predominant exudate and he was subsequently started on four-drug daily anti-tuberculosis therapy (isoniazid, ethambutol, rifampin, pyrazinamide). Pleural biopsy revealed acid-fast bacilli. Given his persistent pleural effusion, he was given four doses of intrapleural tissue plasminogen activator (tPA) and dornase alpha (DNase) via his chest tube over a period of 6 days resulting in clinical and radiologic improvement...
2016: Respiratory Medicine Case Reports
Hyun Jung Yoon, Myung Jin Chung, Kyung Soo Lee, Jung Soo Kim, Hye Yun Park, Won-Jung Koh
OBJECTIVE: To determine the patho-mechanism of pleural effusion or hydropneumothorax in Mycobacterium avium complex (MAC) lung disease through the computed tomographic (CT) findings. MATERIALS AND METHODS: We retrospectively collected data from 5 patients who had pleural fluid samples that were culture-positive for MAC between January 2001 and December 2013. The clinical findings were investigated and the radiological findings on chest CT were reviewed by 2 radiologists...
March 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Arkaprabha Chakraborty, Anindya Mukherjee, Payel Talukdar, Arunansu Talukdar
Filarial infection can have varied manifestations, but hydropneumothorax at presentation has not yet been reported. A 28-year-old man presented to our hospital with heaviness of the left chest for the past 10 days, which was preceded by a sudden, short stabbing pain in the left chest after straining. Chest X-ray revealed left-sided hydropneumothorax. A peripheral blood picture revealed significant eosinophilia. A pleural fluid report also showed eosinophilia and a few motile microfilaria of Wuchereria bancrofti...
2015: BMJ Case Reports
José Luis Braga de Aquino, Marcelo Manzano Said, Douglas Rizzanti Pereira, Paula Casals do Amaral, Juliana Carolina Alves Lima, Vânia Aparecida Leandro-Merhi
BACKGROUND: Idiopathic esophageal achalasia is an inflammatory disease of unknown origin, characterized by aperistalsis of the esophageal body and failure of the lower esophageal sphincter in response to swallowing, with consequent dysphagia. AIM: To demonstrate the results of surgical therapy in these patients, evaluating the occurred local and systemic complications. METHODS: Were studied retrospectively 32 patients, 22 of whom presented non-advanced stage of the disease (Stage I/II) and 10 with advanced disease (Stage III/IV)...
April 2015: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
R Khajotia, St Kew, Yl Cham
No abstract text is available yet for this article.
2009: Malaysian Family Physician
Rachna Wadhwa, Zainab Ahmad, Mahendra Kumar
Traumatic diaphragmatic hernia (TDH) is generally a consequence of thoraco-abdominal trauma. Anaesthetic problems arise due to herniation of abdominal contents into the thoracic cavity causing diaphragmatic dysfunction, lung collapse, mediastinal shift and haemodynamic instability. Diagnosis depends on history, clinical signs and radiological investigations. Sometimes, it may be misdiagnosed as hydropneumothorax due to the presence of air and fluid in the viscera lying in the pleural cavity. We report a case of TDH mimicking hydropneumothorax on radiological investigations and subsequent surgical management, which led to serious complications...
March 2014: Indian Journal of Anaesthesia
H Koh, S Sivarajah, D Anderson, C Wilson
Diaphragmatic hernias are usually congenital, and they usually occur in the neonatal group. They do occur in the adult population, albeit very rarely. We present a case of an adult male patient with complications as a result of a congenital diaphragmatic hernia. The patient presented with atypical abdominal pain and respiratory distress. Radiological investigations confirmed a left hydropneumothorax as well as large bowel obstruction secondary to herniation of the omentum and transverse colon through a congenital defect in the left hemi-diaphragm...
2012: Journal of Surgical Case Reports
H Daghfous, I Zendah, O Kahloul, F Tritar-Cherif
BACKGROUND: Pulmonary hydatid disease encountered in Tunisia frequentely. Rupture of pulmonary cyst into the pleural cavity is rare, but represents the most serious complication of the hydatid disease. AIM: We analyse clinical, radiologic and outcome of intrapleural rupture of lung hydatic cyst and evaluate our experience in the surgical treatment. METHODS: We report 5 cases of rupture of rupture of pulmonary hydatid cyst into the pleural cavity hospitilazed during 1995 to 2010...
January 2014: La Tunisie Médicale
Mihir Patel, Hetvi Joshi, Jayantilal Mehta
SESSION TYPE: Cancer Student/Resident Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: Spontaneous pneumothorax can be caused by lung tissue weakness - rupture of thin cysts called blebs on lung surface. Chest pain, dyspnea and occasionally palpitations are classical symptoms of pneumothorax but it can also present silently.CASE PRESENTATION: A 58 year old Caucasian male working as a chemical engineer presented with palpitations and rapid heart rate of 190 per minute which was resolved with valsalva maneuver in ER...
October 1, 2012: Chest
Sanjeev Kumar, Arshdeep Singh, Prithpal S Matreja, Sanjiv Kumar Kler
We are reporting a case of an asthmatic patient who presented to us with retrosternal chest pain, constipation, and shortness of breath, with features which were suggestive of a hydropneumothorax and shock. On recovery from the shock, the patient was found to have increased chest tube drainage, which was suggestive of an oesophageal rupture. The Computerized Tomography (CT) scan showed a fistulous track. The patient was diagnosed as a case of a spontaneous oesophageal pleural fistula (Spontaneous EPF) on the basis of her clinical and radiological findings...
March 2013: Journal of Clinical and Diagnostic Research: JCDR
Toby Pillinger, Angela Rogers, Simon Barnes
An elderly gentleman presented with acute dyspnoea and right-sided pleuritic chest pain. Two-weeks previously an oesophageal stent had been inserted for dysphagia secondary to oesophageal carcinoma. With low PaO(2), a neutrophilic leucocytosis, raised inflammatory markers and a right-sided pleural effusion, antibiotics were prescribed for pneumonia. Computed tomographic pulmonary angiogram (CTPA) ruled out pulmonary embolus. The patient rallied transiently and his effusion improved. His respiratory distress returned 14 days later...
2013: BMJ Case Reports
Jin-rong Liu, Bao-ping Xu, Hui-min Li, Ji-hang Sun, Bao-lin Tian, Shun-ying Zhao, Zai-fang Jiang
OBJECTIVE: Streptococcus pneumoniae necrotizing pneumonia (SPNP) was reported elsewhere but not in China yet. Inappropriate treatment due to poor recognition of this disease could influence its prognosis. This paper presents the clinical characteristics, diagnosis and treatment of SPNP hoping to elevate pediatrician's recognition level for this disease. METHOD: Clinical manifestations, radiological findings, treatment and prognosis of 20 patients (9 boys, 11 girls) who had been hospitalized with SPNP in Beijing Children's Hospital from 2004-2011 were retrospectively analyzed...
June 2012: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Katie Chong, Sheharyar A Qureshi, Gabriela Badea, She Lok
An 18-year-old man presented with a 2 day history of breathlessness and left-sided chest pain, with no preceding trauma. He had no medical history of note, and had never smoked. He was in hypovolaemic shock, with Hb of 8.1 g/dl, and received fluid resuscitation. Chest x-ray (CXR) revealed left-sided hydropneumothorax, with the effusion of blood-consistency on CT thorax. Tube thoracostomy drained 1.7 litres of blood immediately. He remained haemodynamically stable after 4 units of blood transfusion on the first day with post-transfusion Hb 11 g/dl...
2011: BMJ Case Reports
Erwin A Gorter, Emile F L Dubois, Onno R Guicherit, Thijs A J Urlings, J C Alexander de Mol van Otterloo
BACKGROUND: Spontaneous haemopneumothorax is a rare disorder and is defined as spontaneous pneumothorax associated with the accumulation of more than 400 ml of blood in the pleural cavity. CASE DESCRIPTION: A 32-year-old male presented at the emergency department following sudden onset of right-sided stinging chest pain and difficulty in breathing. The chest X-ray showed right-sided hydropneumothorax. A tube thoracostomy was performed, which immediately drained 1500 ml of sanguinolent fluid...
2012: Nederlands Tijdschrift Voor Geneeskunde
Fraser John Hall Brims, Mohammad Arif, Anoop Jivan Chauhan
INTRODUCTION: Thoracoscopy is an invasive procedure that may be performed by physicians for the investigation of exudative pleural effusion using local anaesthesia, conscious sedation and a rigid thoracoscope. OBJECTIVES:   We sought to evaluate the safety and outcome of thoracoscopy in Portsmouth Hospitals, UK, a dockyard city with high previous asbestos usage. METHODS: Retrospective casenote, radiology and laboratory result analysis of patients undergoing thoracoscopy in our institution over a 12-month period...
July 2012: Clinical Respiratory Journal
Masoud Shamaei, Payam Tabarsi, Saviz Pojhan, Leila Ghorbani, Parvaneh Baghaei, Majid Marjani, Mohammad Reza Masjedi
BACKGROUND: Pneumothorax is a well known complication of pulmonary tuberculosis (TB), particularly in patients with advanced TB. METHODS: At our national TB-referral hospital, we compared the medical records of 53 TB patients with pneumothorax and 106 TB patients without pneumothorax, seen in 2003 to 2008. We analyzed data on demographics; TB type (smear-positive, smear-negative, extrapulmonary); patient type (new patient, relapse, treatment default, treatment failure); clinical and radiological manifestations; surgeries; and outcomes...
March 2011: Respiratory Care
Esther Gargallo, Jose Antonio Nuevo, Juan Carlos Cano, Ana Isabel Castuera, Juan Antonio Andueza, María Fernández
INTRODUCTION: Lemierre syndrome (LS) is considered as a forgotten disease since the beginning of Penicillin. The lack of use of beta-lactamase inhibitors antibiotics together with the increase in the use of macrolids or second-generation and third-generation cephalosporins for oropharyngeal processes has led to an increasing incidence. We propose to review all LS cases seen in an Emergency Department over the last 5 years. METHODS: Retrospective study of patients diagnosed as LS in the Emergency Department of Hospital general universitario Gregorio Marañón from 2004 to the present...
December 2010: Enfermedades Infecciosas y Microbiología Clínica
Yuen Li Ng, Narinder Paul, Demetris Patsios, Anna Walsham, Tae-Bong Chung, Shaf Keshavjee, Gordon Weisbrod
OBJECTIVE Lung transplantation is an established treatment for end-stage pulmonary disease. Complications of lung transplantation include airway stenosis and dehiscence, reimplantation response, acute rejection, infection, posttransplantation lymphoproliferative disorder, and bronchiolitis obliterans syndrome. The incidence of graft rejection and airway anastomosis experienced in the early years of lung transplantation have been significantly reduced by advances in immunosuppression and surgical techniques...
March 2009: AJR. American Journal of Roentgenology
Balakrishnan Menon, Pritam Singh, Ruchi Arora
We report a case of interlobar hydropneumothorax in a 42-year-old male with chronic obstructive pulmonary disease and a history of tuberculosis in the past. The diagnosis was suspected from chest roentgenograms that showed an incompletely circumscribed air containing space with a fluid level. The diagnosis was confirmed by computed tomography. This unusual presentation of hydropneumothorax with striking radiological features prompted us to report this case.
July 2006: Indian Journal of Chest Diseases & Allied Sciences
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