2583 2. Lopez-Castilla JD, Cano M, Munoz M, et al. Massive bronchoalveolar aspiration of barium sulfate during a radiologic study of the upper digestive tract. Pediatr Pulmonol 1997;24:126-7. 3. Pracy JP, Montgomery PQ, Reading N. Acute pneumonitis caused by low density barium sulphate aspiration. J Laryngol Otol 1993;107:347-8. 4. Ginai AZ, ten Kate FJ, ten Berg RG, Hoornstra K. Experimental e...

We agree that the passage of meconium in utero is not always due to intrauterine asphyxia and it may be a purely physiological event due to increasing maturity of the fetus. However, a bacterial endotoxin has been recently implicated in "causing the preterm labor and passage of meconium in utero(3). It is to be emphasized that only those neonates who have respiratory\distress with radiological ...

Fire-eater's pneumonia is a distinct type of chemical pneumonitis that results from aspiration of different types of hydrocarbons. This article describes a case of fire-eater's pneumonia due to accidental aspiration of liquid paraffin. The adolescent patient became febrile the day after the accident. The diagnosis of fire-eater's pneumonia was delayed because aspiration history was not divulged...

This report documents the first two Brazilian cases of mediastinal granuloma due to histoplasmosis, presenting selected aspects on the diagnosis. Tissue samples revealing histoplasmosis were obtained from each of the patients by mediastinoscopy and thoracotomy. In the second patient, a subcarinal calcified mass eroded into the bronchial tree, leading to secondary bilateral aspiration pneumoniti...

A variety of chest manifestations are seen in patients with chronic liver diseases, namely hepatopulmonary syndrome, portopulmonary hypertension, intrathoracic portosystemic collaterals, hepatic hydrothorax, infections, drug-induced changes, manifestations of hepatocellular carcinoma, gynecomastia, acute respiratory distress syndrome, autoimmune changes, aspiration pneumonitis and changes due t...

We report a case of a 42-year-old man who fell in a vat of hydrochloric acid, resulting in ingestion and aspiration of acid. Initially, he suffered from a chemical pneumonitis and GI burns. He was released from the hospital without complications, only to return with signs and symptoms consistent with asthma. Evaluation revealed multiple areas of large airway stenosis, resulting from the chemica...

Dermatomyositis is an idiopathic inflammatory myopathy with involvement of muscle, skin and other organs. Valvular heart disease increases the risk of perioperative adverse cardiac events. Only a little information is available about the anaesthetic management of a patient with dermatomyositis and valvular heart disease. Here we considered combined spinal-epidural technique for total abdominal ...

Unexpected acute respiratory failure after anesthesia is a diagnostic challenge: residual neuromuscular blockade, bronchial hyperresponsiveness, laryngospasm, atelectasis, aspiration pneumonitis, and other more uncommon causes should be taken into account at diagnosis. Lung ultrasound and echocardiography are diagnostic tools that would provide the differential diagnosis. We report a suspected ...

A technique of cervical gastrostomy is described. Cervical gastrostomy as an alternative to the use of an indwelling nasogastric tube after cervical oesophagogastrostomy after resection for cancer has been used in six patients and appears to have certain advantages in terms of effective gastric decompression, avoiding discomfort to the patient, and simplification of postoperative nursing. It ma...