costochondral and rib grafts have long been used for reconstruction of lost condyle. donor site morbidity has less been under investigation and researched. pleural disruption pneumothorax and ugly scars are among the donor site complications. this study aims to determine the rate of pleural disruption following costochondral graft harvesting from the 4th to the 7th ribs of right and left ribs f...

OBJECTIVES Recently, paravertebral block (PVB) has been reported to be an effective analgesic modality for post-thoracotomy pain, but there is no consensus on how thoracic PVB can be more effective. Our hypothesis that intact pleura has a significant impact on the analgesic effectiveness of thoracic PVB was evaluated. METHODS Data of patients who underwent general thoracic surgery [thoracotom...

Background and Objective: The aim of this review is to focus on post-resectional broncho-pleural fistula pathophysiology, clinical management, surgical approach future perspectives treatment. Bronchopleural (BPF) a pathological communication between the airways pleural cavity that may occur after pulmonary resection chest traumas or following complications thoracic infections disruption lung pa...

Pancreaticopleural fistula is a rare complication of chronic pancreatitis consequent to posterior disruption of the pancreatic duct. The fistulous track ascends into the pleural cavity and gives rise to large volumes of pleural fluid. Pancreaticopleural fistula thus poses a diagnostic problem since the source of pleural fluid is extrathoracic. To further complicate the matter, abdominal pain is...

INTRODUCTION Pleural effusion is an abnormal accumulation of fluid in the Pleural space. e pleural space lies between the lung and chest wall and normally contains a very thin layer of fluid, which serves as a coupling system. Excess fluid results from the disruption of the equilibrium that exists across pleural membranes. Pleural effusion is an indicator of a pathologic process that may be of...

Extra-abdominal complications of pancreatitis such as pancreaticopleural fistulae are rare. A pancreaticopleural fistula occurs when inflammation of the pancreas and pancreatic ductal disruption lead to leakage of secretions through a fistulous tract into the thorax. The underlying aetiology in the majority of cases is alcohol-induced chronic pancreatitis. The diagnosis is often delayed given t...

Mediastinal pseudocysts are a rare complication of acute pancreatitis. Lack of uniform treatment standards makes the management of this condition a clinical challenge. We report the case of a 43-year-old patient who presented with a left pleural effusion. Pleural fluid revealed a high amylase concentration consistent with a pancreaticopleural fistula. Endoscopic retrograde cholangiopancreatogra...

Fortunately, contralateral pneumothorax occurs rarely after pneumonectomy. This complication was detected during the immediate postoperative period in four of 340 patients having pneumonectomy for carcinoma at the Ochsner Clinic from January 1942 through June 1958. To our knowledge delayed pneumothorax has not occurred in any of the remaining patients. This lends support to the impression that ...

Pancreaticopleural fistula is an uncommon sequelae of pancreatitis. The condition is often elusive, as respiratory rather than abdominal symptoms usually predominate and the fistula can be difficult to demonstrate radiologically. Confirmation is by demonstrating a high amylase content in the pleural aspirate relative to the serum. About half the fistulae will close with conservative treatment b...

Pancreatico-pleural fistula (PPF) represents a rare complication of chronic pancreatitis, especially in patients with an alcohol abuse history. It results from the traumatic or inflammatory disruption of the main pancreatic duct or its side branches, leading to the formation of a fistulous tract between the pancreas and the pleural cavity through the esophageal or aortic hiatus of the diaphragm...