ABSTRACT
This case report demonstrates the dangers of assuming the accuracy of a neonatal diagnosis of asthma, that is not responsive to medical therapy, and highlights the value of CT imaging.
Subject(s)
Asthma/diagnosis , Bronchogenic Cyst/diagnosis , Adolescent , Bronchoscopy , Chronic Disease , Diagnosis, Differential , Female , Humans , Tomography, X-Ray ComputedABSTRACT
INTRODUCTION: We reviewed our experience of the in-hospital management and early follow-up of patients admitted with a traumatic sternal fracture to a Thoracic Surgical Unit. PATIENTS AND METHODS: Over a 7-year period, 73 consecutive patients (51 males) with a median age of 51 (range 17-84) years were admitted through the Emergency Department with an acute traumatic sternal fracture. The patients were hospitalised for cardiorespiratory monitoring, pain control and physiotherapy. Outpatient follow-up occurred 6 weeks after discharge. RESULTS: The median hospital stay was 2 days (range 1-15 days). Sixty-four patients (88%) did not require parenteral analgesia or any other procedure that would necessitate admission to hospital. Three patients (4%) with severely displaced fractures and complex co-morbidities required surgical correction. Follow-up revealed no significant complications. CONCLUSIONS: Admission to hospital is not necessary for every patient sustaining a sternal fracture and should be reserved for those with high-impact trauma, severely displaced fractures, significant associated injuries, complex analgesic requirements, important co-morbidities or inadequate domestic support.
Subject(s)
Fractures, Bone/therapy , Sternum/injuries , Adolescent , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Hospital Departments , Hospitalization , Humans , Length of Stay , Male , Middle Aged , Retrospective Studies , Thoracic SurgerySubject(s)
Pneumonectomy , Pneumopericardium/diagnostic imaging , Postoperative Complications/diagnostic imaging , Tomography, X-Ray Computed , Adult , Humans , Lung Neoplasms/secondary , Lung Neoplasms/surgery , Male , Pneumopericardium/surgery , Pneumothorax/diagnostic imaging , Pneumothorax/surgery , Reoperation , Teratoma/secondary , Teratoma/surgery , Testicular Neoplasms/surgeryABSTRACT
A 17-year-old girl presented with recurrent episodes of pneumonia related to localized bronchiectasis in the lingula. On computed tomography and magnetic resonance imaging, the cause of this was found to be an inwardly projecting exostosis arising from the left fifth rib. The patient underwent thoracotomy and excision of the exostosis with the affected area of lung. We report here the unusual case of a rib exostosis presenting with localized bronchiectasis.
