Fístula subaracnoidea-pleural traumßtica por herida de bala no penetrante en tórax / Traumatic subarachnoid-pleural fistula secondary to non-penetrating thoracic gunshot wound
Gac. méd. Méx
;
138(2): 191-194, mar.-abr. 2002.
Article
Dans Espagnol
| LILACS
| ID: lil-333659
ABSTRACT
INTRODUCTION:
Traumatic subarachnoid-pleural fistula (TSPF) is very unusual and is due to the anomalous communication between the pleural and subarachnoid space. We report a TSPF by Bullet wound that was not penetrating to the thoracic cavity. CLINICAL CASE Masculine of 34 years-old that receives wounded by bullet in the posterior face of thorax. A pleural effusion was identified and medullar wound with fracture of the fifth thoracic vertebra. The effusion is persist and also added headache appear. TSPF was diagnosed for myelography. The patient die before carrying out the surgical treatment. A massive tromboemboly of lug was the cause. The autopsy confirmed the diagnosis.DISCUSSION:
The TSPF should be suspected by the association of medullar lesion with a persistent pleural effusion. The diagnosis should be confirmed by radiology. The treatment can be medical or surgical.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Maladies de la plèvre
/
Espace sous-arachnoïdien
/
Plaies non pénétrantes
/
Maladies du système nerveux central
/
Fistule de l'appareil respiratoire
/
Fistule
Type d'étude:
Étude pronostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Gac. méd. Méx
Thème du journal:
Médicament
Année:
2002
Type:
Article
Pays d'affiliation:
Mexique
Institution/Pays d'affiliation:
Hospital General de México/MX
/
Instituto Mexicano del Seguro Social/MX
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