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chest x-ray of hydropneumothorax

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https://www.readbyqxmd.com/read/27881590/pyopneumothorax-secondary-to-streptococcus-milleri-infection
#1
Mohd Jazman Che Rahim, Nurashikin Mohammad, Wan Syamimee Wan Ghazali
We report a case of a 46-year-old Malay woman with underlying hypothyroidism post thyroidectomy who presented with worsening breathlessness, orthopnoea, productive cough and left-sided pleuritic chest pain of 3 days duration. Chest X-ray on admission showed left-sided massive hydropneumothorax. Pleural tapping revealed empyema. A chest tube was inserted immediately. The culture of pleural fluid grew Streptococcus constellatus The patient was treated with antibiotics for a total of 6 weeks and underwent open thoracotomy and decortication during admission...
November 23, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27550883/chemotherapy-induced-spontaneous-pneumothorax-case-series
#2
Een Hendarsih, Trinugroho H Fadjari, Amaylia Oehadian
We present 2 patients who developed spontaneous pneumothorax (SP) following rapid regression of lymphoma and rhabdomyosarcoma with lung metastases. Case 1, a 43-year old man was admitted to our hospital with dyspnea 10 days before admission. He denied any recent trauma or previous treatment for lung tuberculosis. Three weeks prior to admission, he received first cycle of CHOP for non-Hodgkin's lymphoma stage II BE. Chest X-ray consistent with right pneumothorax. After treatment with chest tube drainage for about 1 month, the patient recovered and chemotherapy could be continued without further complications...
April 2016: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/27489758/recurrent-hydropneumothorax-an-unusual-presentation-for-malignant-pleural-mesothelioma
#3
David DeLapp, Christopher Chan, Perry Nystrom
Mesothelioma is a rare pulmonary malignancy commonly associated with asbestos exposure. Its presentation is insidious and non-specific, with complaints of chest pain, dyspnea and cough. Chest X-ray may demonstrate unilateral pleural effusion. CT and PET scans may highlight nodular pleural plaques. Diagnosis often times is difficult with negative imaging and negative pleural fluid studies. In rare cases, hydropneumothoraces may be seen. We report a case of malignant pleural mesothelioma presenting as recurrent hydropneumothorax with negative CT scan of the chest for pleural abnormalities and negative pleural fluid studies...
2016: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/27247819/hydropneumothorax-in-children-a-rare-complication-of-a-bacterial-pneumonia
#4
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
https://www.readbyqxmd.com/read/26695937/chest-x-ray-findings-in-late-onset-congenital-diaphragmatic-hernia-a-rare-emergency-easily-misdiagnosed-as-hydropneumothorax-a-case-report
#5
Vassil Nikolov Zefov, Maryam Anas Almatrooshi
INTRODUCTION: Late-onset congenital diaphragmatic hernia is a rare anomaly with misleading symptoms and signs. CASE PRESENTATION: We describe the case of a 7-year-old Middle Eastern girl who presented with acute nonspecific abdominal symptoms and respiratory distress of 2 days' duration after sustaining a blunt trauma on her left chest wall on a background of chronic ill-defined left chest pain of 2 weeks' duration. Her initial chest radiograph showed an air-fluid level, which was thought to be a hydropneumothorax, so a chest tube was inserted and was shown to be positioned between the chest wall and the air collection; therefore, a nasogastric tube was inserted and it was positioned in the left chest cavity so the diagnosis of late-onset congenital diaphragmatic hernia was made...
2015: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/26604240/filarial-hydropneumothorax-a-strange-journey
#6
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
https://www.readbyqxmd.com/read/25946304/images-in-clinical-medicine-trapped-lung
#7
Jeffrey Albores, Tisha Wang
A 46-year-old woman with end-stage liver disease that was complicated by recurrent hepatic hydrothorax requiring multiple thoracenteses presented with breathlessness. Chest examination found no breath sounds on the right side. Radiography of the chest revealed a hydropneumothorax (Panel A; the..
May 7, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/25451360/talc-pleurodesis-through-indwelling-pleural-catheters-for-malignant-pleural-effusions-retrospective-case-series-of-a-novel-clinical-pathway
#8
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
https://www.readbyqxmd.com/read/25334675/a-rare-case-of-malignant-mesothelioma-affecting-the-major-airways
#9
Babak Eshaghian, Farhad Mazdisnian
SESSION TITLE: Cancer Cases ISESSION TYPE: Affiliate Case Report SlidePRESENTED ON: Monday, October 27, 2014 at 11:00 AM - 12:00 PMINTRODUCTION: Malignant mesothelioma is a neoplasm arising from the mesothelial surface of the peritoneum, pericardium, and tunica vaginalis, with majority of cases arising from the pleura. We report a rare case of malignant mesothelioma affecting the major airways.CASE PRESENTATION: A 64-year-old man with a history of asbestos exposure presented with dyspnea with minimal exertion...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25334471/clinical-profile-of-hepatic-patients-with-pleural-complications-admitted-to-sohag-university-hospital
#10
Hamdy Mahmoud, ISmail Mobarak, Usma Arafa
SESSION TITLE: Pleural Disease PostersSESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: The diseased liver leads to deleterious effects on multiple organ systems including the pleura .Pleural complication of liver diseases including hepatic hydrothorax, empyema, chylothorax, pneumothorax and hydropneumothorax. Objective:To determine clinical characteristics, causes and outcomes of pleural complications in cirrhotic patients...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/24592373/streptomyces-infection-in-cushing-syndrome-a-case-report-and-literature-review
#11
Masoud Ataiekhorasgani, Nasim Jafaripozve, Omid Zaerin
Streptomyces are saprophytic soil organisms rarely known to cause invasive infections. Streptomyces is the largest genus, producing antibacterial, antifungal and antiparasitic drugs. The case was a 24-year-old man, admitted for sudden dyspnea, fever and sputum and decreased sound in the left lung. The chest X-ray showed hydropneumothorax. After chest tube insertion, lung expansion did not happen. Pleural effusion was exudative with gram-positive bacillus and Streptomyces in culture. Owing to symptoms of Cushing in history, examination and laboratory work-up for Cushing was done and finally he underwent bilateral adrenalectomy...
2014: Advanced Biomedical Research
https://www.readbyqxmd.com/read/24564088/congenital-cystic-adenomatoid-malformation-of-the-lung-a-case-report-and-diagnostic-challenges-in-a-typical-african-setting
#12
O F Adeniyi, O Olusoji, M O Thomas, O A Oduwole, J K Renner
Congenital cystic adenomatoid malformation (CCAM) of the lung an entity which results from a harmatomatous proliferation of the bronchioles constitutes 25% of the all congenital lung anomalies. Majority of cases of CCAM usually present with respiratory distress from birth, while others may present with recurrent chest infections in childhood or in adulthood. Most reports on CCAM have been on caucasian children and the diagnosis of the condition appears to be challenging unless there is a high index of suspicion...
July 2012: Nigerian Quarterly Journal of Hospital Medicine
https://www.readbyqxmd.com/read/23699339/crouching-tiger-hidden-dragon-malignant-pleural-mesothelioma-as-a-culprit-for-recurrent-spontaneous-pneumothorax-and-hydropneumothorax
#13
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
https://www.readbyqxmd.com/read/23682089/simultaneous-bilateral-spontaneous-hydropneumothorax-a-rare-presentation-of-bilateral-malignant-pleural-mesothelioma
#14
Hossam E Fayed, Victoria K Woodcock, Jamal Grayez
This is a case of a 69-year-old man with a history of asbestos exposure who presented with acute shortness of breath. His chest x-ray showed bilateral hydropneumothorax. Further investigations including CT chest and video-assisted thoracoscopic surgery revealed bilateral pleural thickening and histology confirmed epithelioid mesothelioma. This case highlights the need for clinicians to be aware of atypical presentations of malignant pleural mesothelioma as well as the importance of considering underlying secondary causes such as malignancy in the older patient presenting with spontaneous pneumo/hydropneumothorax...
2013: BMJ Case Reports
https://www.readbyqxmd.com/read/23291821/oesophageal-rupture-a-tough-diagnosis-to-swallow
#15
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
https://www.readbyqxmd.com/read/23257939/thoracic-endometriosis-syndrome-manifesting-as-atraumatic-haemothorax-causing-difficult-ventilation-under-general-anaesthesia
#16
Mark Peterzan, Toby Reynolds, Kamaljit Dulay, Rachel Wooldridge
A 31-year-old woman underwent elective hysteroscopy and laparoscopy for investigation of primary infertility. The procedure was abandoned owing to intraoperative desaturation and reduced right-sided chest movement. Postoperative chest x-ray showed an opacified right hemithorax with tracheal deviation to the left. Retrospectively on direct questioning, she admitted to dry cough, mild dyspnoea and significant weight loss. Diagnostic thoracocentesis and contrast CT scan confirmed heavily blood-stained exudative pleural effusion but were otherwise non-diagnostic...
2012: BMJ Case Reports
https://www.readbyqxmd.com/read/23244504/pneumothorax-ex-vacuo-or-trapped-lung-in-the-setting-of-hepatic-hydrothorax
#17
Yan S Kim, Irawan Susanto, Catherine A Lazar, Ali Zarrinpar, Patricia Eshaghian, M Iain Smith, Ronald Busuttil, Tisha S Wang
BACKGROUND: Hepatic hydrothorax is a major pulmonary complication of liver disease occurring in up to 5-10% of patients with cirrhosis. CASE PRESENTATION: We report four observations of the development of pneumothorax ex-vacuo or trapped lung in the setting of hepatic hydrothorax. The diagnosis of trapped lung was made based on the presence of a hydropneumothorax after evacuation of a longstanding hepatic hydrothorax with failure of the lung to re-expand after chest tube placement in three of the four cases...
December 17, 2012: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/22931940/-clinical-analysis-of-20-cases-with-streptococcus-pneumoniae-necrotizing-pneumonia-in-china
#18
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
https://www.readbyqxmd.com/read/22766467/-postpartum-pneumomediastinum-associated-with-subcutaneous-emphysema-a-case-report
#19
N Houari, S Labib, M-A Berdai, M Harandou
This case report refers to a 21-year-old primigravida, who complained of dyspnoea and was noticed to have unusual swelling of the face and neck after home delivery. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest X-ray. Pneumomediastinum and hydropneumothorax were also detected. Uneventful recovery over three days followed conservative management.
September 2012: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/22749682/unexpandable-lung
#20
REVIEW
Marco F Pereyra, Lucía Ferreiro, Luis Valdés
Unexpandable lung is a mechanical complication by which the lung does not expand to the chest wall, impeding a normal apposition between the two pleural layers. The main mechanism involved is the restriction of the visceral pleura due to the formation of a fibrous layer along this pleural membrane. This happens because of the presence of an active pleural disease (lung entrapment), which can be resolved if proper therapeutic measures are taken, or a remote disease (trapped lung), in which an irreversible fibrous pleural layer has been formed...
February 2013: Archivos de Bronconeumología
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