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hydropneumothorax on chest radiography

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
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
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...
2012: BMC Pulmonary Medicine
Mohsen Sokouti, Massoud Nazemieh
A 26-year-old man presented with dyspnoea and pneumothorax diagnosed by chest radiography. He had previously presented with a massive right hydropneumothorax on his chest x ray 6 months ago, which was followed by 2 weeks of intercostal tube drainage resulting in a partial improvement of his symptoms. He was referred for a thoracoscopy to investigate the possible causes of the non-resolving pneumothorax, during which a large ruptured, crumpled hydatid cyst in the right pleural space, without empyema, was found...
2008: BMJ Case Reports
O I Oyinloye, M A N Adeboye, A A Abdulkarim, L O Abdur-Rahman, O A M Adesiyun
Traumatic diaphragmatic rupture (TDR) is rare in children and can be easily overlooked because of lack of awareness of late presentation and concomitant injuries. A 4-year-old girl presented with respiratory distress 2 months after a road traffic accident. The initial differential diagnosis was pneumonia or pulmonary tuberculosis with associated pleural effusion. On further assessment, a diaphragmatic hernia was suspected. The initial radiograph showed left hydropneumothorax. Fluoroscopy, follow-up chest radiographs and barium swallow confirmed the diagnosis of left TDR...
2010: Annals of Tropical Paediatrics
Tsutomu Tanijiri, Seibun Yonezu, Yoshitaro Torii, Hiroyuki Sugimoto, Takashi Yokoi, Shirou Fukuhara
A 28-year-old man had a 1-year history of hemoptysis. Consequently, he underwent a medical examination. A right pleural effusion, left hydropneumothorax, and multiple pulmonary nodular shadows were found on chest radiography. During a detailed interview, he reported that the hemoptysis began after eating "kejang" (a raw crab preparation) with a friend a year previously. His peripheral blood eosinophil count and serum IgE level were elevated. In addition, ova were detected in the sputum and bilateral pleural effusion...
December 2009: Nihon Kokyūki Gakkai Zasshi, the Journal of the Japanese Respiratory Society
Shinya Inamoto, Yukako Hashimoto
A 72-year-old woman with deteriorated renal function underwent hemodialysis with a central venous double lumen catheter and was treated with predonisolone when diagnosed with MPO-ANCA associated rapidly progressive glomerulonephritis. She developed a high fever. On hospital day 64, the central venous catheter was removed immediately, and VCM and RFP were started. On hospital day 70, chest CT showed multiple nodular cavitated lesions, and she was diagnosed as septic pulmonary embolism (SPE). Six days later, chest radiography showed asymptomatic right hydropneumothorax...
January 2008: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
M J Ciudad, N Santamaría, A Bustos, J Ferreirós, B Cabeza, A Gómez
OBJECTIVE: To show the presentation and imaging findings of catamenial pneumothorax. MATERIAL AND METHODS: We reviewed the imaging tests (plain-film radiography, computed tomography [CT], magnetic resonance [MR]) performed in six women aged between 28 and 44 years with recurrent pneumothorax associated to menstruation. All patients underwent videothoracoscopic surgery and thoracotomy was necessary in three due to the recurrence of the pneumothorax. RESULTS: CT was performed in three cases and found pleural nodules in two; one of these was confirmed at MR...
July 2007: Radiología
Kenneth Ogan, T Spark Corwin, Thomas Smith, Lori M Watumull, Mary Ann Mullican, Jeffrey A Cadeddu, Margaret S Pearle
OBJECTIVES: Hydropneumothorax (HPTX) is recognized as a potential complication of percutaneous nephrostolithotomy (PCNL), particularly with supracostal access. Postoperative chest radiography (CXR) is routinely used to evaluate the chest after PCNL. We prospectively compared the sensitivity of intraoperative chest fluoroscopy with immediate postoperative portable CXR and postoperative day 1 chest computed tomography (CT) for the detection of pleural fluid. METHODS: A total of 89 consecutive patients (mean age 47...
December 2003: Urology
G Soldati, A Di Piero, L Bassani, A Di Vito, M Rossi
Spontaneous esophageal perforation (Boerhaave's syndrome) remains a difficult diagnostic and management problem with controversial recommendations regarding its treatment. The clinical manifestations of the disease are variable, and may be misleading, thus delaying accurate recognition. On the other hand, in view of the rapid onset of severe complications, particularly mediastinitis, a prompt diagnosis is essential to a better prognosis, successful operative outcome and potential survival. A case of spontaneous perforation of the thoracic esophagus penetrating the left pleural space treated within 4 hours from admission to the Emergency Room, with minimal surgical intervention is presented...
December 2000: Minerva Chirurgica
P J Friedman
Two cases are described in which chest radiographic findings were typical of those reported as "pneumatocele in the pulmonary ligament" in adults. Analysis based on lateral chest radiography and computed tomography showed a loculated hydropneumothorax behind the pulmonary ligament. Review of the literature failed to show any cases with a lateral radiograph inconsistent with this interpretation. Middle mediastinal air in the newborn, which appears quite different on the lateral chest radiograph, may extend into the pulmonary ligament, though this is unproved...
June 1985: Radiology
A Yamanaka, M Kitano, A Tatsumi, T Matsui, N Yamashita, S Koh
Between 1974 and 1987, 14 patients (10 male and 4 female) underwent thoracotomy for treatment of pulmonary mycosis. They were studied on their clinical findings and surgical treatment. The median age was 48 years (range 19 to 71 years). Fourteen cases consisted of 9 aspergillosis and 5 cryptococcosis. None of them was either debilitated or immunosuppressed before falling ill. Five of the 14 patients had other pulmonary disease and 11 had symptoms; i.e. hemoptysis or bloody sputum in 4 cases, chest pain in 3, fever in 3, cough and sputum in 2...
September 1989: [Zasshi] [Journal]
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