RESUMO
The definition of spontaneous haemothorax is accumulation of blood within the pleural space without trauma or iatrogenic causes. A case of a 17-year-old male patient with a history of multiple abnormal arterial fistulas between systemic circulation and pulmonary circulation as a cause of bleeding is presented. An overview of the causes, the clinical features of haemothorax and the interventional radiological methods that can solve some causes of haemothorax are presented in connection of our case report.
Assuntos
Fístula Artério-Arterial/diagnóstico por imagem , Fístula Arteriovenosa/diagnóstico por imagem , Embolização Terapêutica , Hemotórax/terapia , Artéria Pulmonar/anormalidades , Veias Pulmonares/anormalidades , Adolescente , Fístula Artério-Arterial/complicações , Fístula Artério-Arterial/cirurgia , Fístula Arteriovenosa/complicações , Fístula Arteriovenosa/cirurgia , Hemotórax/diagnóstico , Hemotórax/diagnóstico por imagem , Humanos , Masculino , Radiografia Torácica , Resultado do TratamentoRESUMO
Inflammatory fibroid polyp (IFP) is an uncommon benign tumor of the gastrointestinal tract. IFP in the esophagus is very rare, in particular in giant size. A case of a 63 year old woman with a 13 × 7 × 4.5 cm polyp originated of the lower third of the oesophagus is presented. Her esophageal polyp extended proximally from the level of the tracheal bifurcation, prolapsing through the cardia as well as the herniated stomach, and entered distally into the abdominal part of the stomach. Resection of the polyp was performed via a right oesophago-gastrotomy. Histology verified inflammatory fibroid polyp of the esophagus. An overview of clinical features of the inflammatory fibroid polyp is presented in connection of our case report.
Assuntos
Doenças do Esôfago/patologia , Doenças do Esôfago/cirurgia , Gastrectomia/métodos , Leiomioma/patologia , Leiomioma/cirurgia , Pólipos/patologia , Pólipos/cirurgia , Doenças do Esôfago/diagnóstico , Neoplasias Esofágicas/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Pólipos/diagnóstico , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/patologia , Neoplasias Gástricas/cirurgia , Resultado do TratamentoRESUMO
Numerous methods exist for the treatment of pericardial effusions. These methods, however, can be applied with limitations only for long-term eradication of malignant pericardial effusion. Lately, several new methods, including minimally invasive procedures, have been published, and the VATS technique has become fairly popular. This technique needs special instruments and single lung ventilation, which is relatively risky in case of contralateral malignancy. We apply a new and simple minimally invasive fenestration method using the well-known approach of the parasternal mediastinoscopy by Stemmer. No recurrence of pericardial effusions was noted in long-term follow-up. In the past 10 years 73 patients were treated for pericardial effusion in our department and 22 pericardium fenestrations have been performed with parasternal approach. This method is recommended for the definitive treatment of pericardial effusion with malignant origin.
Assuntos
Tamponamento Cardíaco/diagnóstico , Neoplasias do Mediastino/complicações , Derrame Pericárdico/etiologia , Derrame Pericárdico/cirurgia , Técnicas de Janela Pericárdica , Esterno , Adulto , Idoso , Idoso de 80 Anos ou mais , Tamponamento Cardíaco/etiologia , Diafragma , Drenagem , Feminino , Mortalidade Hospitalar , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pericárdico/complicações , Derrame Pericárdico/diagnóstico , Cirurgia Torácica Vídeoassistida , Toracotomia , Resultado do TratamentoRESUMO
Patients with diffuse lung disease need lung biopsy for accurate diagnosis and treatment. Both traditional open lung biopsy through a thoracotomy and video assisted thoracoscopic lung biopsy are effective methods for obtaining parenchymal samples. The authors present their surgical method and experience. Thirty patients were operated on for lung biopsy using mediastinoscope between 1999-2003. Lung parenchymal samples were eligible for histological examination. No serious postoperative complications developed. The method is simple, safe and low-cost.