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new hydropneumothorax

Joseph R Shiber, Emily Fontane, Jin H Ra, Andrew J Kerwin
BACKGROUND: A brief review of the historical aspects of esophageal rupture is presented along with a case and current recommendations for diagnostic evaluation and treatment. CASE REPORT: A 97-year-old woman complained of acute dyspnea without prior vomiting. Chest x-ray study showed a large right pneumothorax with associated effusion. A thoracostomy tube was placed with return of > 1 L turbid fluid with polymicrobial culture and elevated pleural fluid amylase level...
March 20, 2017: Journal of Emergency Medicine
Liju Ahmed, Hugh Ip, Deepak Rao, Nishil Patel, Farinaz Noorzad
Malignant pleural effusions cause significant morbidity, but there is no gold standard minimally invasive treatment. A new therapeutic approach combines talc pleurodesis and indwelling pleural catheters (IPCs) to enable outpatient management. This case series summarizes the safety and efficacy data of all patients (24) with a symptomatic malignant pleural effusion who underwent talc pleurodeses via IPCs between December 2010 and July 2013. Successful pleurodesis was achieved in 22 procedures (92%). There was one empyema, one hydropneumothorax, one recurrent effusion, and two minor complications: one drain site wound infection and one complaint of chest pain...
December 2014: Chest
Yl Erica Leung, Samuel Lee
Pleural Disease Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Tube thoracostomy is a commonly performed procedure for the chest physician. We report a case of bronchocutaneous fistula (BCF) that developed as a result of tube thoracostomy to heighten awareness of this rare complication.CASE PRESENTATION: A 59 year-old male patient with a past history of severe chronic obstructive pulmonary disease requiring long term oxygen therapy was admitted for sudden onset of shortness of breath...
October 1, 2014: Chest
Giovanni Volpicelli, Enrico Boero, Valerio Stefanone, Enrico Storti
BACKGROUND: The diagnosis of pneumothorax with a bedside lung ultrasound is a powerful methodology. The conventional lung ultrasound examination consists of a step-by-step procedure targeted towards the detection of four classic ultrasound signs, the lung sliding, the B lines, the lung point and the lung pulse. In most cases, a combination of these signs allows a safe diagnosis of pneumothorax. However, the widespread application of sonographic methodology in clinical practice has brought out unusual cases which raise new sonographic signs...
December 19, 2013: Critical Ultrasound Journal
K Horo, A N'Gom, B Ahui, C Brou-Gode, J-C Anon, A Diaw, P Bemba, K Foutoupouo, H Djè Bi, P Ouattara, B Kouassi, N Koffi, E Aka-Danguy
INTRODUCTION: In countries where tuberculosis is endemic, the main differential diagnosis for pleural infection by common bacteria is pleural tuberculosis. OBJECTIVE: The purpose of our study was to determine the differences between pleural infection by common bacteria and that caused by pleural tuberculosis. METHODOLOGY: Our study was a retrospective analysis and compared the characteristics of confirmed pleural infection by common bacteria (PIB) and that due to pleural tuberculosis (PT)...
March 2012: Revue des Maladies Respiratoires
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
Todd A Ponsky, Arjun Khosla, Steven S Rothenberg
INTRODUCTION: Options for effective techniques for vessel and tissue sealing in infants and children are limited because of the size and limited intracorporeal space of many pediatric patients. We evaluated a new energy source, the ForceTriad (Covidien, West Windsor, NJ) LigaSure, which delivers both mono- and bipolar energy in a 5-mm format and allows for tissue fusion and vessel sealing and division. This report documents our experience with this device. METHODS: A database review was performed, looking for all cases that were performed in children using the ForceTriad LigaSure as the main source of hemostasis and tissue fusion...
April 2009: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jeanne M Laberge, Robert K Kerlan, Skorn Ponrartana
The interventional radiology Case Corner Series is a new feature that will be presented quarterly in JVIR. The format is uniquely designed for the busy interventional radiology practitioner. Case presentations are short and to the point. Discussions are succinct and pertinent to current practice. Each quarter, a difficult or problem case is presented and the reader is challenged with questions relevant to the case. Short answers are then provided based on referenced sources from the current literature. Cases are drawn from the interventional radiology experience at the University of California San Francisco and are edited by Jeanne M...
October 2004: Journal of Vascular and Interventional Radiology: JVIR
A Terzi, G Magnanelli, G Furlan, A Norsa
Pulmonary lymphangioleyomiomatosis (LAM) is a rare disease that affects only women. About one hundred cases are reported in the literature. This disease progresses to respiratory failure and its course can be slowed by hormonal therapy. A new case is reported; this woman was admitted to our Division for a right hydropneumothorax and after pleural drainage fluid demonstrated to be a chylous effusion; after a thoraco-abdominal CT scan the diagnosis of LAM was suspected. She was operated on after a few days because of continuous air and chyle leakage...
October 1994: Minerva Chirurgica
R Targhetta, J M Bourgeois, P Balmes
Ultrasound of 28 radiologically confirmed cases of pneumothorax were compared to 100 controls. Specific ultrasonographic signs were shown in all cases and could be categorised into four groups: isolated pneumothorax (n = 16), hydro-pneumothorax (n = 9), subcutaneous emphysema (n = 1) and post aspiration pneumothorax (n = 2). The isolated pneumothorax was characterised by the disappearance of the lung deflection signal. The effusion of the hydropneumothorax allows in addition a curtain sign which depicts the movement of the air/fluid level, the detachment of the lung being calculated across the liquid window whose echo-structure is analysed...
1990: Revue des Maladies Respiratoires
R Targhetta, J M Bourgeois, R Chavagneux, C Marty-Double, P Balmes
Ultrasound results for 11 patients with HPN confirmed by CXR were compared with those for 100 healthy subjects. The observation of the hyperechogenic line of the pleuropulmonary surface (normal subjects) showed back-and-forth respiratory movements in every case which we call the "gliding sign." Ultrasonographic signs were shown in all patients with HPN. Visualizing the gassy effusion above the pleural fluid, the disappearance of the "gliding sign" (n = 11) indicates PN. The image of the HPN allows in addition a "curtain sign" which depicts the movement of air/fluid level (n = 11), the pulmonary collapse being calculated across the liquid window whose echostructure is analyzed...
April 1992: Chest
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