Iatrogenic hemothorax is a rare complication after chest tube insertion. It is mainly caused by injury to the intercostal blood vessels. Treatment involves pleural drainage, and thoracotomy is usually required for hemostasis. Occasionally, embolization of the intercostal arteries is an effective therapeutic alternative. We present the case of a 21-year-old male patient who smoked one packet of ...

A 78-year-old woman experienced cardiac tamponade (Figure 1). At first, a drainage tube was inserted into the pericardial cavity through the fifth intercostal space guided by transthoracic echocardiography; however, the aspirate was bloody. We suspected that the tip of the drainage tube had been inserted into the intracardiac space. The microcavitation contrast was generated immediately by agit...

Pneumothorax is the presence of air in the pleural cavity. It can be classified into spontaneous, traumatic or iatrogenic. The majority of pneumothorax cases are spontaneous, which can be further classified into primary spontaneous pneumothorax (PSP) or secondary spontaneous pneumothorax (SSP), defined by the absence or presence of obvious underlying lung disease respectively. The treatment of ...

Empyema necessitans (EN) is a rare long-term sequela of poorly or untreated empyema thoracis, characterized by the dissection pus through soft tissues and skin chest wall, ultimately forming fistula between pleural cavity. We herein present male patient in his late 30s, known case tuberculosis (TB) on anti-tubercular therapy (ATT) under directly observed treatment short-course (DOTS), who recen...

Lichter, I. (1974). Thorax, 29, 32-37. Long-term follow-up of planned treatment of spontaneous pneumothorax. Ninety-six patients presenting with spontaneous pneumothorax have been followed for a period of five to 12 years after initial treatment. Treatment was designed to deal with the pneumothorax episode and management was planned to minimize the risk of recurrence. Patients were treated init...

thoracic surgery with poor prognosis unless treated properly. It can cause sepsis and other complications which may increase morbidity and mortality. The treatment of choices in pleural empyema are thoracentesis, intercostal tube or pleural catheter drainage, video-assisted thoracic surgery (VATS) and open surgery (1, 2). Tube drainage often fails if the empyema is loculated with fibrinous adhe...

Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleu...

Since Price Thomas in Britain, J. Mathey in France, and P. Gebauer in Hawaii showed (194751) that reconstructive bronchoplastic procedures were surgically possible, the operation of lobectomy with sleeve resection of the bronchus has become a standard procedure for those cases of carcinoma of a lobar bronchus which involves, locally, the bronchus to another lobe. Previously a tumour thus sited ...

Since Price Thomas in Britain, J. Mathey in France, and P. Gebauer in Hawaii showed (194751) that reconstructive bronchoplastic procedures were surgically possible, the operation of lobectomy with sleeve resection of the bronchus has become a standard procedure for those cases of carcinoma of a lobar bronchus which involves, locally, the bronchus to another lobe. Previously a tumour thus sited ...