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.
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Doenças Pleurais
/
Espaço Subaracnóideo
/
Ferimentos não Penetrantes
/
Doenças do Sistema Nervoso Central
/
Fístula do Sistema Respiratório
/
Fístula
Tipo de estudo:
Estudo prognóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Gac. méd. Méx
Assunto da revista:
Medicina
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
México
Instituição/País de afiliação:
Hospital General de México/MX
/
Instituto Mexicano del Seguro Social/MX
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