RESUMO
A 77-year-old man with clinical stage II squamous cell carcinoma underwent right intrapericardial pneumonectomy. After an initially uneventful course he was readmitted with right-sided empyema, bronchopleural fistula, and pulmonary embolus. This was managed with initial resuscitation and anticoagulant agents, followed by debridement and closure of the fistula with biologic mesh reinforced with a pedicled diaphragm muscle flap.
Assuntos
Fístula Brônquica/cirurgia , Pneumonectomia/efeitos adversos , Retalhos Cirúrgicos , Telas Cirúrgicas , Idoso , Fístula Brônquica/etiologia , Fístula Brônquica/patologia , Carcinoma de Células Escamosas/cirurgia , Diafragma , Humanos , Neoplasias Pulmonares/cirurgia , MasculinoRESUMO
A 34-year-old man presented with chronic worsening left-sided retrosternal chest pain. Following a negative cardiac work up he was found, on cross-sectional imaging, to have a cystic mass measuring 9.6×11.8×9 cm related to his left diaphragmatic crus. The patient underwent an exploratory laparotomy with complete resection of the cystic mass. Histopathological examination of the mass confirmed it as being a bronchogenic cyst. His pain resolved following excision of the mass and at follow-up he was asymptomatic with no evidence of recurrence on imaging.
