keyword
https://read.qxmd.com/read/37868442/disseminated-tuberculosis-of-the-lungs-pleura-mediastinal-lymph-nodes-and-pericardium-a-rare-case-report
#21
Sankalp Yadav
Tuberculosis is mainly known to affect the lungs, but it can manifest at various extrapulmonary sites. Disseminated tuberculosis is a relatively rare clinical condition, and cases with no history of the disease are sparse. A case of an 18-year-old Indian male is presented. He came with complaints of chest pain, coughing with expectoration, and loss of appetite. The diagnostic workup led to a definite diagnosis of disseminated tuberculosis with involvement of the lungs, pleura, mediastinal lymph nodes, and pericardium...
September 2023: Curēus
https://read.qxmd.com/read/37860282/immediate-sonography-and-intervention-in-blunt-chest-trauma-a-case-report
#22
Hans Van der Wal, Joost van der Maaten, Nasim Azizi, Theo Klinkenberg, Matijs van Meurs
Cardiac tamponade is a leading cause of death in blunt thoracic trauma. Ultrasound improved the recognition of cardiac tamponade and therefore has a vital role in acute critical situations in the Emergency Department and in the Intensive Care Unit. Besides recognition of cardiac tamponade, treatment protocols are important. In trauma patients with hemodynamic stable cardiac tamponade, time should be taken for a proper workup for an explorative sternotomy. In hemodynamic unstable trauma patients, the pericardium should be drained, and fluid resuscitation should be performed followed by emergency sternotomy...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/37859900/osteochondroma-of-the-rib-a-potentially-life-threatening-benign-tumor
#23
Laura C Morales, Jose D Cardona Ortegón, Bibiana A Pinzón Valderrama, Ana M Jiménez Uribe, Nicolas G Mora Bendeck, Fernando Fierro Ávila
Osteochondroma is the most common benign bone tumor. It can be classified as isolated or multiple. While the majority of osteochondromas are asymptomatic and found incidentally, they can become symptomatic during adolescence or adulthood due to mechanical irritation, nerve compression, spinal cord compression, or vascular injury. In this article, we present a case of a 14-year-old patient who experienced spontaneous hemothorax caused by bleeding from a diaphragmatic laceration incurred by a costal exostosis on the right eighth rib...
September 2023: Curēus
https://read.qxmd.com/read/37851724/pericardial-windows-the-limited-diagnostic-value-of-non-targeted-pericardial-biopsy
#24
JOURNAL ARTICLE
Gabriel Bianco Giuliani, Ismael Alberto Auca Morales, Giovane Okaresnki, Gabriel Faioli Nascimento Alves Vieira, Daniella de Freitas Pereira Angelo Durço, Alfredo José Rodrigues
BACKGROUND: Pericardial window, in addition to promoting pericardial drainage, can also provide samples of the pericardium for anatomopathological examination. However, such biopsies' contribution to clarifying the etiology of pericardial effusion has been debated. OBJECTIVE: To analyze the diagnostic value of non-targeted pericardial biopsy obtained from pericardial window procedures. METHODS: Data from 80 patients who had undergone parietal pericardial biopsies from 2011 to 2020 were retrospectively reviewed...
October 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37844062/use-of-transesophageal-echocardiography-for-enhanced-safety-during-bar-removal-procedures-after-minimally-invasive-repair-of-pectus-excavatum
#25
JOURNAL ARTICLE
Preeya K Deol, J David Hoover, J Duncan Phillips
Background: Minimally invasive repair of pectus excavatum involves placement of retrosternal support (Nuss) bars. Hardware removal has been rarely associated with life-threatening hemorrhage from the heart, aorta, internal mammary arteries, and/or lung. There is no accepted standard intraoperative monitoring technique used during removal. We hypothesized that the use of transesophageal echocardiography (TEE) during Nuss bar removal would enhance safety of the procedure and be cost-effective. Methods: IRB-approved retrospective review of patients who underwent Nuss bar removal with intraoperative TEE monitoring over a 4-year period, from March 2013 to May 2017, was completed...
October 16, 2023: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/37839880/pyothorax-and-constrictive-pericarditis-after-chemoradiotherapy-for-esophageal-cancer-a-case-report
#26
JOURNAL ARTICLE
Yohei Ishibashi, Noriaki Takama, Yoichi Ohtaki, Norimichi Koitabashi, Masahiko Kurabayashi, Hideki Ishii
A 75-year-old man underwent chemoradiotherapy for advanced esophageal cancer. After nine years, he was hospitalized for left pyothorax. Consequently, the patient underwent drainage and window opening surgery. He experienced cardiopulmonary arrest but was resuscitated. Based on cardiac catheterization data, the patient was diagnosed with constrictive pericarditis. Unfortunately, extracorporeal circulation did not improve his condition, and he ultimately died. An autopsy revealed adhesion between the pericardium and pleura, especially the pericardium in contact with the left thoracic cavity, which was markedly thickened...
October 13, 2023: Internal Medicine
https://read.qxmd.com/read/37752995/risk-factor-analysis-for-major-mediastinal-vessel-invasion-in-thymic-epithelial-tumors-based-on-multi-slice-ct-imaging
#27
JOURNAL ARTICLE
Yu-Hui Ma, Jie Zhang, Wei-Qiang Yan, Jiang-Tao Lan, Xiu-Long Feng, Shu-Mei Wang, Guang Yang, Yu-Chuan Hu, Guang-Bin Cui
OBJECTIVE: To explore the characteristics and risk factors for major mediastinal vessel invasion in different risk grades of thymic epithelial tumors (TETs) based on computed tomography (CT) imaging, and to develop prediction models of major mediastinal artery and vein invasion. METHODS: One hundred and twenty-two TET patients confirmed by histopathological analysis who underwent thorax CT were enrolled in this study. Clinical and CT data were retrospectively reviewed for these patients...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37738826/presentation-and-treatment-of-two-massive-intrapericardial-lipoma-case-report
#28
Simone Tombelli, Domenico Viggiano, Alberto Salvicchi, Stefano Bongiolatti, Alessandro Gonfiotti, Luca Voltolini
INTRODUCTION AND IMPORTANCE: Primary pericardial tumors are very rare with an overall incidence of 0.001-0.007 % and account for approximately 10 % of heart neoplasms. We present two clinical cases of massive mature intrapericardial lipomas (maximum size 270 × 230 mm) that were successfully treated in our department. CASE PRESENTATION: The first case is that of a 67-year-old male patient who underwent diagnostic investigations after the onset of dyspnea, which confirmed an intrapericardial mass of 270 × 230 mm in size that extended into the left lung field and was treated surgically by a clamshell incision...
September 19, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37735733/-acute-aortic-dissection-escaping-cardiac-tamponade-due-to-congenital-pericardial-defect-report-of-a-case
#29
JOURNAL ARTICLE
Yusuke Yamauchi, Yuya Tauchi, Makoto Mohri, Zenichi Masuda, Hideya Mitsui
The natural course of Stanford type A acute aortic dissection (AAAD) has a poor prognosis. Early diagnosis is crucial, but in clinical practice some patients do not have typical symptoms, leading to a delay in diagnosis. We encountered a patient who complained only of shoulder pain and moderate respiratory distress. A chest computed tomography( CT) examination showed a dilated ascending aorta and a massive left hemothorax with minimal pericardial effusion. Intraoperative findings revealed aortic dissection of the ascending aorta and a congenital defect on the left pericardium...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/37714264/constrictive-pericarditis-in-the-new-millennium
#30
REVIEW
C Barton Gillombardo, Brian D Hoit
Constrictive pericarditis (CP) is a complex clinical syndrome in which an inflamed pericardium becomes fibrotic and non-compliant, ultimately reducing cardiac pump performance. Although we have known about CP for centuries, it remains a challenge to diagnose. Recent advances in cardiac imaging, along with an expanding armamentarium of treatment options, have improved the quality and precision of care for patients with CP. This article reviews important historical and contemporary perspectives on the pathophysiology of CP, as well as our approach to diagnosis and management...
September 13, 2023: Journal of Cardiology
https://read.qxmd.com/read/37694436/pericardial-mesothelioma-presenting-as-constrictive-pericarditis
#31
Felix Berglund, Ambreen Ali, Parvathy Sankar, Rehan Karmali, Muhammad Majid, Ashwin Kumar, Sarah Mudra, Sanjay Mukhopadhyay, Allan L Klein
A 46-year-old woman underwent pericardiocentesis and pericardial window for recurrent pericardial effusion. She presented 17 months later with signs and symptoms consistent with constrictive pericarditis. Cardiac magnetic resonance imaging revealed an infiltrative mass surrounding the pericardium. A transcutaneous core needle biopsy of the pericardium confirmed the diagnosis of pericardial mesothelioma.
September 11, 2023: Echocardiography
https://read.qxmd.com/read/37650439/-bronchogenic-cyst-impersonating-a-pericardial-lesion-a-case-report
#32
Cruz-Zarrabal Javier, Felipe Santibañez-Escobar, Alberto Aranda-Fraustro, Jose A Arias-Godinez, Juan F Fritche-Salazar, Xochitl A Ortiz-Leon, Rodriguez-Zanella Hugo G, Maria E Ruiz Esparza-Dueñas, Edith L Posada-Martinez
A 32-year-old female presented with palpitations and chest discomfort. The patient had a history of pericardiotomy due to pericardial effusion. Multimodal imaging, including echocardiography, cardiac magnetic resonance (CMR), and coronary computed tomography angiography (CCTA) showed a single mass in the pericardium as the cause of the symptoms. Furthermore, its location and potential complications were accurately defined. The patient underwent a successful surgical resection of the pericardial cyst, microscopic histopathological examination was compatible with a bronchogenic cyst, a very rare congenital malformation...
August 31, 2023: Echocardiography
https://read.qxmd.com/read/37645522/multimodality-imaging-assessment-of-primary-pericardial-rhabdomyosarcoma-a-case-report
#33
Xingxuan Li, Yukun Cao, Guozhu Shao, Yue Cui, Yumin Li, Kailu Zhang, Xiaoqing Liu, Heshui Shi
Primary pericardial sarcomas are rare and lethal diseases. To date, only a few cases of primary pericardial sarcomas, such as rhabdomyosarcoma (RMS), have been reported. Since the unusual location of RMS in the pericardium makes it challenging to diagnose, precise diagnostic procedures are required. In this study, we present the case of a 23-year-old man who experienced postprandial obstruction and atypical precordial pain that lasted for a week. Echocardiography revealed a heterogeneous isoechoic pericardial mass with a significant pericardial effusion...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37545254/malignant-pleural-effusion-and-pericardial-effusion-an-unusual-presentation-of-metastatic-adenoid-cystic-carcinoma-of-the-floor-of-mouth-a-case-report-with-cyto-histopathological-correlation
#34
JOURNAL ARTICLE
Chiao Lin, Lakshmy Nandakumar
Adenoid cystic carcinoma (ACC) is an uncommon tumour that represents 5%-10% of salivary gland tumours and 1% of all head and neck malignancies. It is characterised by a protracted clinical course with late metastasis and poor long-term prognosis. We report the case of a 38-year-old woman presenting with pulmonary and pleural metastases, on the background of ACC of the floor of mouth, which had been treated 4 years ago with surgical excision and radiotherapy. Cytological evaluation of the pleural effusion showed exfoliated ACC tumour cells...
August 6, 2023: Diagnostic Cytopathology
https://read.qxmd.com/read/37517250/primary-pleural-hydatidosis-presenting-as-an-isolated-cough-a-rare-case-report
#35
Marlyn Susan George, Preethi Jagannath, Tigran Byuzandyan, Natalie Baghumyan, Armen Khanoyan, Md Foorquan Hashmi
INTRODUCTION AND IMPORTANCE: Echinococcus granulosus causes hydatid disease. The most affected organ is the liver which is followed by the lungs. The pleural cavity being the primary location of hydatid cysts is rare and should be discussed further. This paper documents a rare case of primary pleural hydatidosis which can present with a merely isolated cough followed by dyspnea. The diagnosis and surgical treatment along with post-operative medications are vital in this case. CASE PRESENTATION: We present a case of a 45-year-old who suffered from a cough for more than one week which did not subside after taking medications...
July 26, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37492796/rupture-of-thymoma-due-to-recurrent-tumor-hemorrhage-a-case-report
#36
Asuka Uebayashi, Toshinari Ema, Hiroaki Oiwa, Kazuyo Yasuda, Osamu Matsubara, Kazuhito Funai
BACKGROUND: Rupture of a thymoma is rare, and due to its rarity, the mechanism of rupture remains unclear. Here we report a case of a ruptured thymoma that ruptured due to an increase in the intratumoral pressure caused by recurrent hemorrhaging. CASE DESCRIPTION: A 70-year-old woman presented 2 days prior persistent right chest and shoulder pain. A chest computed tomography (CT) scan revealed the presence of a mass occupying the anterior mediastinum and a right pleural effusion...
2023: AME Case Reports
https://read.qxmd.com/read/37477022/treatment-of-purulent-pericarditis-with-intrapericardial-alteplase
#37
JOURNAL ARTICLE
Robert S Zhang, Arushi Singh, Usman Alam, Kelsey Grossman, Norma Keller, Carlos L Alviar, Sripal Bangalore
No abstract text is available yet for this article.
July 21, 2023: Circulation. Cardiovascular Imaging
https://read.qxmd.com/read/37474539/cardiac-tamponade
#38
REVIEW
Yehuda Adler, Arsen D Ristić, Massimo Imazio, Antonio Brucato, Sabine Pankuweit, Ivana Burazor, Petar M Seferović, Jae K Oh
Cardiac tamponade is a medical emergency caused by the progressive accumulation of pericardial fluid (effusion), blood, pus or air in the pericardium, compressing the heart chambers and leading to haemodynamic compromise, circulatory shock, cardiac arrest and death. Pericardial diseases of any aetiology as well as complications of interventional and surgical procedures or chest trauma can cause cardiac tamponade. Tamponade can be precipitated in patients with pericardial effusion by dehydration or exposure to certain medications, particularly vasodilators or intravenous diuretics...
July 20, 2023: Nature Reviews. Disease Primers
https://read.qxmd.com/read/37469419/malignant-mesothelioma-tumours-molecular-pathogenesis-diagnosis-and-therapies-accompanying-clinical-studies
#39
REVIEW
Ram Kumar Sahu, Sakina Ruhi, Ashok Kumar Jeppu, Husni Ahmed Al-Goshae, Ayesha Syed, Sanjay Nagdev, Retno Widyowati, Wiwied Ekasari, Jiyauddin Khan, Bedanta Bhattacharjee, Manoj Goyal, Sankha Bhattacharya, Rajendra K Jangde
The pathetic malignant mesothelioma (MM) is a extremely uncommon and confrontational tumor that evolves in the mesothelium layer of the pleural cavities (inner lining- visceral pleura and outer lining- parietal pleura), peritoneum, pericardium, and tunica vaginalis and is highly resistant to standard treatments. In mesothelioma, the predominant pattern of lesions is a loss of genes that limit tumour growth. Despite the worldwide ban on the manufacture and supply of asbestos, the prevalence of mesothelioma continues to increase...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37465418/case-report-epstein-barr-virus-and-constrictive-pericarditis-an-unusual-combination
#40
M Panebianco, E Limonjani, R Formigari, V Bordonaro, A Secinaro, E Cetrano, A Carotti, L Galletti, S Albanese
Constrictive pericarditis is a chronic inflammatory process that can lead to heart failure if not diagnosed and treated correctly. Although Epstein-Barr virus (EBV)-related pericarditis is a very rare condition, it should still be considered for a differential diagnosis. We report the case of an 18-year-old male, who was surgically treated for constrictive pericarditis, in which in situ hybridization to Epstein-Barr virus-encoded RNA (EBER) probe of the excised pericardium led to the subsequent etiological diagnosis of chronic pericarditis caused by EBV...
2023: Frontiers in Pediatrics
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