Extrapleural hematoma (EPH) is a rare condition characterized by the accumulation of blood in the extrapleural space. EPH is generally identified by computed tomography (CT), which shows an inward displacement of extrapleural fat due to intrathoracic peripheral fluid accumulation (Ann Ital Chir 75(83): 5, 2004; J Korean Radiol Soc 49: 89-97, 2003; Monaldi Arch Chest Dis 63(3): 166-169, 2005). E...

REFERENCES 1 Eng J, Sabanathan S. Site of action of continuous extrapleural intercostal nerve block. Ann Thorac Surg 1991; 51: 387-9. 2 Berrisford RG, Sabanathan S. Direct access to the paravertebral space at thoracotomy. Ann Thorac Surg 1990; 49: 854. 3 Mozell E J, Sabanathan S, Mearns A J, Bickford Smith PR, Majid MR, Zografos G. Continuous extrapleural intercostal nerve block after pleurecto...

Since Tuffier's original description of the extrapleural operation in 1891, the procedure has been subjected to various modifications, particularly the introduction of different plombage materials. Fat was probably the first solid plombe to be employed, but was discarded rather early because of its inherent deficiencies: lack of resistance to pressure and tendency to liquefy. Bear's introductio...

Solitary fibrous tumor (SFT) which is an extremely rare clinical entity has been reported infrequently. Most commonly it is distinguished into pleural and extrapleural forms, with same morphological resemblance. There has been many literatures reported regarding extrapleural form of SFT but few cases of SFT originating from small bowel mesentery have been reported till now. We here report one c...

Solitary fibrous tumour (SFT) is a rare oncological entity that most often arises in the pleura. Over the past 10 years, the tumour has been described at numerous extrapleural locations. We present the case of a 42-year-old female Caucasian patient with an extrapleural SFT located at the anterior thoracic wall for 22 years, with atypical histological characteristics and clinical features of mal...

A 52 year old male presented with changes in bowel movements, and a mass was detected on digital rectal exam. Both CT and MRI revealed a large pelvic and gluteal mass filling the pelvic cavity displacing the adjacent pelvic structures. After surgical removal, pathology revealed solitary fibrous tumor; a rare neoplasm uncommonly discovered in the thorax, and even less commonly in extrapleural lo...

Moderate or massive haemorrhage into the extrapleural space within a few days of the performance of an extrapleural pneumonolysis occurs in from 5 per cent to 20 per cent of cases. It may give rise to few symptoms, or be severe enough to cause alarming collapse of the patient and justify, if not demand, immediate transfusion. Apart from the immediate and more alarming physiological disturbances...

OBJECTIVES To compare the efficacy of continuous extrapleural intercostal nerve block with bupivacaine 0.5% in 1:200,000 epinephrine and continuous lumbar epidural block with morphine in controlling post-thoracotomy pain and to measure serum bupivacaine concentrations during extrapleural infusion. DESIGN A prospective, randomized, controlled trial. SETTING St. Joseph's Hospital, Hamilton, O...

Tuberculous pleural effusion (TPE) leads to residual pleural opacity (RPO) in a significant proportion of cases. The aim of this study was to investigate which TPE patients would have RPO following the treatment. This study was performed prospectively for a total of 60 TPE patients, who underwent pleural fluid analysis on the initial visit and chest radiographs and computed tomography (CT) scan...

insufficient control of post-thoracotomy pain can produce breathing dysfunction and long term staying in neonatal intensive care unit (nicu). it can increase the incidence of pulmonary complications such as atelectasis, pneumonia and respiratory failure. the aim of this study was to determine the analgesic effect of continuous extrapleural nerve block, using ropivacaine, in neonates younger tha...