Subject(s)
Esophageal Perforation , Hydropneumothorax , Mediastinal Diseases , Shock, Septic , Humans , Hydropneumothorax/etiology , Hydropneumothorax/diagnostic imaging , Shock, Septic/complications , Shock, Septic/etiology , Esophageal Perforation/diagnostic imaging , Esophageal Perforation/complications , Mediastinal Diseases/diagnostic imaging , Mediastinal Diseases/complications , Male , Esophageal Diseases , Rupture, SpontaneousSubject(s)
Hydropneumothorax , Pneumonia, Mycoplasma , Pulmonary Atelectasis , Female , Humans , Child , Mycoplasma pneumoniae , Hydropneumothorax/etiology , Hydropneumothorax/complications , Pneumonia, Mycoplasma/diagnosis , Pneumonia, Mycoplasma/diagnostic imaging , Pulmonary Atelectasis/diagnostic imaging , Pulmonary Atelectasis/etiologySubject(s)
Anti-Bacterial Agents/administration & dosage , Cross Infection , Hydropneumothorax , Pleural Effusion , Thoracentesis/methods , Ultrasonography/methods , Cefepime/administration & dosage , Cross Infection/complications , Cross Infection/diagnosis , Cross Infection/drug therapy , Diagnosis, Differential , Diaphragm/diagnostic imaging , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Hydropneumothorax/physiopathology , Hydropneumothorax/therapy , Male , Middle Aged , Pleural Effusion/diagnosis , Pleural Effusion/microbiology , Point-of-Care Testing , Radiography, Thoracic/methods , Teicoplanin/administration & dosage , Tomography, X-Ray Computed/methods , Treatment OutcomeSubject(s)
Anti-Bacterial Agents/therapeutic use , Ceftriaxone/therapeutic use , Conservative Treatment/methods , Hydropneumothorax/drug therapy , Pneumonia/complications , Child, Preschool , Female , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Lung/diagnostic imaging , Radiography, ThoracicSubject(s)
Esophageal Perforation/diagnostic imaging , Mediastinal Diseases/diagnostic imaging , Alcohol Drinking/adverse effects , Esophageal Perforation/complications , Esophageal Perforation/diagnosis , Esophageal Perforation/surgery , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Male , Mediastinal Diseases/complications , Mediastinal Diseases/diagnosis , Mediastinal Diseases/surgery , Mediastinal Emphysema/diagnostic imaging , Mediastinal Emphysema/etiology , Middle Aged , Vomiting/complicationsSubject(s)
Anti-Bacterial Agents/therapeutic use , Ceftriaxone/therapeutic use , Hydropneumothorax/drug therapy , Pneumonia/drug therapy , Child, Preschool , Conservative Treatment/methods , Female , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Length of Stay , Pneumonia/complications , Pneumonia/diagnostic imaging , Radiography/methods , Thorax/diagnostic imaging , Treatment OutcomeABSTRACT
BACKGROUND: Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery. CASE PRESENTATION: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for postoperative analgesia. However, the patient suffered from severe emesis, chest pain and dyspnea 6 h after the surgery. Emergency chest x-ray revealed right-sided hydropneumothorax. BS was diagnosed by chest tube drainage and computed tomography. Besides antibiotics and tube feeding, a naso-leakage drainage tube was inserted into the right thorax for pleural evacuation. Finally, the esophagus was healed 40d after the conservative treatment. CONCLUSIONS: Perioperative antiemetic therapy is an indispensable item of fast-track surgery. Moreover, BS should be kept in mind when the patients complain of chest distress following emesis after thoracic surgery.
Subject(s)
Esophageal Perforation/surgery , Esophagus/surgery , Lung Neoplasms/surgery , Mediastinal Diseases/surgery , Pneumonectomy/adverse effects , Rupture, Spontaneous/etiology , Vomiting/etiology , Drainage , Esophageal Perforation/diagnosis , Esophageal Perforation/etiology , Esophageal Perforation/therapy , Esophagus/diagnostic imaging , Female , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Hydropneumothorax/therapy , Lung/surgery , Mediastinal Diseases/diagnosis , Mediastinal Diseases/etiology , Mediastinal Diseases/therapy , Middle Aged , Pneumonectomy/methods , Rupture, Spontaneous/surgery , Rupture, Spontaneous/therapy , Thoracic Surgery, Video-Assisted/adverse effects , Thoracic Surgery, Video-Assisted/methods , Thoracostomy , Tomography, X-Ray ComputedSubject(s)
Antibodies, Fungal/blood , Aspergillosis, Allergic Bronchopulmonary/blood , Aspergillosis, Allergic Bronchopulmonary/diagnosis , Hydropneumothorax/etiology , Immunoglobulin G/blood , Aspergillosis, Allergic Bronchopulmonary/complications , Asthma/diagnosis , Diagnosis, Differential , Female , Humans , Middle AgedSubject(s)
Gloves, Surgical , Pneumothorax/surgery , Thoracostomy/methods , Adult , Aerospace Medicine , Aviation , Chest Tubes , Humans , Hydropneumothorax/etiology , Hydropneumothorax/surgery , Influenza A Virus, H1N1 Subtype , Influenza, Human/complications , Male , Pneumothorax/diagnosis , Recurrence , Thoracostomy/instrumentationABSTRACT
OBJECTIVE: To evaluate the efficacy and safety of supracostal percutaneous nephrolithotomy (PCNL) through the 11th intercostal space and compare it with subcostal PCNL in children with renal calculi. MATERIALS AND METHODS: Children with renal calculi who underwent PCNL between January 2010 and December 2017 were divided into 2 groups: supracostal PCNL (group 1) and subcostal PCNL (group 2). Stone location, stone burden, location of the access points, operative time, postoperative visual pain score, success rate, hospital stay, and complications according to the modified Clavien classification were compared. Comparison of medians was done using Mann Whitney U test and the means were compared using t test. RESULTS: Group 1 had 50 patients while group 2 had 60 patients. The stone-free rate was 84.0% and 85.0% in groups 1 and 2, respectively after 1 session of PCNL (P = .885). After auxiliary procedures, it increased to 96.0% and 96.6%, respectively (P = .852). The mean fall in hematocrit was 0.9% in group 1 and 1.5% in group 2 (P = .11) whereas the median pain score was 4 in group 1 and 3 in group 2 (P = .37). In all, 54 complications were recorded the commonest among which were grade I (81.5%). Twenty-nine complications were observed in group 1 while 25 complications were observed in group 2 (P = .088). One patient developed nephropleural fistula while another patient developed hydropneumothorax. Both belonged to group 1. CONCLUSION: Supracostal access for PCNL is an effective and safe alternative to subcostal access for children with renal calculi in terms of stone-free rate and complications.
Subject(s)
Hydropneumothorax , Kidney Calculi , Nephrolithotomy, Percutaneous , Postoperative Complications/diagnosis , Urinary Fistula , Child , Female , Humans , Hydropneumothorax/diagnosis , Hydropneumothorax/etiology , India/epidemiology , Kidney Calculi/diagnosis , Kidney Calculi/epidemiology , Kidney Calculi/surgery , Length of Stay/statistics & numerical data , Male , Nephrolithotomy, Percutaneous/adverse effects , Nephrolithotomy, Percutaneous/methods , Operative Time , Treatment Outcome , Urinary Fistula/diagnosis , Urinary Fistula/etiologyABSTRACT
The majority of complications following microwave ablation (MWA) of lung tumours are immediately evident, however, delayed complications do occasionally occur. The radiologist plays a major role in identifying and in guiding the management of these complications. This pictorial essay explores the imaging appejmironce of several potentially life-threatening delayed complications of pulmonary MWA.
