ABSTRACT
A 44-year-old man presented with a 3-day history of persistent upper-back pain, chest discomfort, and dyspnea. He denied any precipitating events such as trauma or vigorous activity before the presentation of symptoms. His exercise capacity had been excellent. He is a lifetime nonsmoker and never had significant lung problems apart from intermittent asthma for which he had several ED visits in the past. Chest CT scan performed during an asthma exacerbation 2 years earlier demonstrated two left-side lung blebs. He had no prior surgical procedures.
Subject(s)
Pleura/abnormalities , Pleural Diseases/congenital , Pneumothorax/etiology , Adult , Diagnosis, Differential , Humans , Male , Pleural Diseases/complications , Pleural Diseases/diagnosis , Pneumothorax/diagnosis , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
Herein we present a case of a simultaneous bilateral spontaneous pneumothorax caused by a pleuro-pleural communication. A 70-year-old man with a history of esophagectomy presented with dyspnea. A chest roentgenogram revealed a bilateral pneumothorax and bilateral chest drainage procedures were performed. A left bullectomy was also performed 3 days later due to persistent air leakage on the left side. During surgery, a small fistula was detected in the anterior mediastinal pleura and was found to be in communication with the bilateral pleural spaces.
Subject(s)
Fistula/complications , Pleural Cavity/abnormalities , Pleural Diseases/complications , Pneumothorax/etiology , Thoracic Surgical Procedures/methods , Aged , Diagnosis, Differential , Fistula/congenital , Fistula/surgery , Follow-Up Studies , Humans , Male , Pleural Cavity/surgery , Pleural Diseases/congenital , Pleural Diseases/surgery , Pneumothorax/diagnosis , Pneumothorax/surgery , Radiography, Thoracic , Thoracoscopy , Tomography, X-Ray ComputedABSTRACT
A 39-year old woman presented with cough. Computed tomography showed a mass in the lower lobe of the right lung. Although bronchofiberscope was performed, accurate diagnosis of the tumor was not obtained. Based on the characteristics of the tumor from the results of chest MRI and PET-CT, a diagnosis of bronchogenic cyst with infection was suspected. Therefore, surgical resection was performed, revealing an intrapulmonary bronchogenic cyst and another tumor of the pleura on the vertebral body. Pathological findings demonstrated that the wall of the intrapulmonary tumor was covered with many ciliated epithelia and bronchial cartilages, suggesting a diagnosis of bronchogenic cyst. The tumor on the pleura was also diagnosed to be bronchogenic cyst based on pathological findings. Therefore, we diagnosed both intrapulmonary and pleural cysts.
Subject(s)
Bronchogenic Cyst/congenital , Cysts/congenital , Pleural Diseases/congenital , Adult , Bronchogenic Cyst/complications , Female , Humans , Pleural Diseases/complicationsABSTRACT
BACKGROUND AND OBJECTIVES: Pseudomyxoma peritonei syndrome is a rare disease arising from a perforated appendiceal adenoma. The syndrome is characterized by progressive accumulation of mucinous ascites and tumor within the peritoneal cavity. Direct extension of pseudomyxoma peritonei to the pleural cavity is uncommon and has been associated with surgical penetration of the diaphragm at the time of cytoreduction. METHODS: We review the case of a patient who presented with mucoid peritoneal and pleural fluid consistent with spontaneous pleural spread of pseudomyxoma peritonei. RESULTS: Surgical exploration confirmed direct pleuroperitoneal communication by macroscopic diaphragmatic fenestration. CONCLUSIONS: This is a rare phenomenon. We outline a therapeutic approach to be applied when pleural involvement is suspected in patients with pseudomyxoma peritonei syndrome.
Subject(s)
Fistula/congenital , Peritoneal Diseases/congenital , Peritoneal Neoplasms/complications , Pleural Diseases/congenital , Pseudomyxoma Peritonei/complications , Female , Humans , Middle Aged , Pleural EffusionABSTRACT
The authors report three sisters with bilateral isolated apical pleural fibrosis of unknown origin, which did not respond to empirical antituberculosis therapy and oral corticosteroids. The disease evolved in an unrelenting fashion producing pleural fibrosis at the lung bases and leading to the death of two sisters and to lung transplantation in the other one. There was no history of other familial disease or consanguinity. The particular features of these cases and the differences from other reports of apparently cryptogenic pleural fibrosis are outlined.
Subject(s)
Pleural Diseases/congenital , Adult , Biopsy , Bronchoscopy , Diagnosis, Differential , Fatal Outcome , Female , Fibrosis/complications , Fibrosis/congenital , Fibrosis/diagnosis , Humans , Lung Transplantation , Nuclear Family , Pleural Diseases/complications , Pleural Diseases/diagnosis , Radiography, Thoracic , Respiratory Insufficiency/etiology , Respiratory Insufficiency/surgery , Tomography, X-Ray ComputedABSTRACT
The clinical case is presented of a 16-yr-old patient with thoracoabdominal duplication that communicated with the main pancreatic duct and the right pleural cavity and resulted in pancreaticopleural fistula. Although abdominal duplications communicating with the pancreas have been described before, to our knowledge, such an anomaly with intrathoracic extension has never been reported. Pleural effusions of high amylase content and surgical management of thoracoabdominal duplications are discussed.
