CASE FOR DIAGNOSIS Bilateral pneumothorax resulting from a diagnostic thoracentesis
نویسندگان
چکیده
CASE REPORT This is the case of a 61-yr-old male who underwent a threestage oesophagectomy and substernal gastric interposition as surgical treatment for a tumour 3, node 0, metastasis 0 poorly differentiated squamous cell carcinoma of the middle oesophagus. Unusual posterior mediastinal anatomy (the thoracic aorta and thoracic duct were very deep, and the distance between the trachea and anterior border of the thoracic vertebrae was unusually small) resulted in complex surgery. As a result, attempts at the traditional Foley technique to transpose the stomach via the posterior mediastinum were repeatedly unsuccessful. This necessitated the use of a retrosternal tunnel, i.e. substernal gastric interposition.
منابع مشابه
Diagnosis of Pneumothorax by Focused Assessment Sonography of Trauma(eFAST) and CT scan in Chest Trauma: Comparison of diagnostic accuracy
Abstract Aims and objectives: Pneumothorax is a common finding after trauma and with a wide range of clinical manifestations, from a concealed pneumothorax detectable only by a CT scan accidentally, to a potentially fatal tension pneumothorax. Pneumothorax can gradually progress to tension pneumothorax and become an emergency, consequently, a timely diagnosis is essential. Most traumatic patie...
متن کاملDoes this patient have an exudative pleural effusion? The Rational Clinical Examination systematic review.
IMPORTANCE Thoracentesis is performed to identify the cause of a pleural effusion. Although generally safe, thoracentesis may be complicated by transient hypoxemia, bleeding, patient discomfort, reexpansion pulmonary edema, and pneumothorax. OBJECTIVE To identify the best means for differentiating between transudative and exudative effusions and also to identify thoracentesis techniques for m...
متن کاملDevelopment of bilateral tension pneumothorax under anesthesia in a Boerhaave's syndrome patient: a case report
A 33-year-old male visited the emergency room with abdominal pain which developed after a vomiting episode. Based on the pneumomediastinum findings from a chest radiograph and a contrast-enhanced chest and abdominal computed tomography scan, the patient was diagnosed with Boerhaave's syndrome. Preoperative radiologic findings showed no pneumothorax or pleural effusion. Once anesthesia was admin...
متن کاملReexpansion pulmonary edema after therapeutic thoracentesis
Reexpansion pulmonary edema is a rare complication resulting from rapid emptying of air or liquid from the pleural cavity performed by either thoracentesis or chest drainage. Despite being infrequent, mortality may occur in up to 20% of cases and is attributed to the abrupt reduction in pleural pressure, especially as a result of extensive pneumothorax drainage or when there is long-term pulmon...
متن کاملIatrogenic pneumothorax: experience of a Moroccan Emergency Center.
The incidence of iatrogenic pneumothorax (IPx) will increase with invasive procedures particularly at training hospitals, that is why we have made a retrospective study of the common diagnostic or therapeutic causes of IPx and its impact on morbidity. From January 2011 to December 2011, 36 patients developed IPx as emergencies, after an invasive procedure. Their mean age was 38 years (range: 19...
متن کامل