Case 13.14

2014 ◽  
pp. 639-640
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Inversion Recovery ◽  
Short Axis ◽  
Pleuritic Chest Pain ◽  
Ssfp Image ◽  
Left Pleural Effusion ◽  
Left Base ◽  
Multiple Episodes

25-year-old man with multiple episodes of pleuritic chest pain Short-axis SSFP image (Figure 13.14.1) reveals a small, predominantly inferior pericardial effusion, a small left pleural effusion, and left base atelectasis. Short-axis and horizontal long-axis LGE inversion recovery T1-weighted images (Figure 13.14.2...

scholarly journals A Rare Case of Cyclical Hemothorax: Thoracic Endometriosis Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Muhammad Shabbir Rawala ◽  
Muhammad Farhan Khaliq ◽  
Muhammad Asif Iqbal ◽  
S. Tahira Shah Naqvi ◽  
Kinaan Farhan ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Reproductive Age ◽  
Common Disease ◽  
Pleuritic Chest Pain ◽  
Rare Presentation ◽  
Ct Guided ◽  
Endometrial Cells ◽  
Wide Range ◽  
Thoracic Endometriosis

Endometriosis is a common condition in which endometrial cells and stroma are deposited in extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It is commonly found in the pelvis; however, it may be found in the abdomen, thorax, brain, or skin. Thoracic involvement is a relatively rare presentation of this common disease. Thoracic endometriosis commonly presents as pneumothorax in 73% of patients. A rarer presentation of thoracic endometriosis is hemothorax (<14%) or hemoptysis (7%). Thoracic endometriosis is an uncommon cause of a pleural effusion. We present a case of 28-year-old African American female with no other medical conditions. She presented to the hospital with worsening right-sided pleuritic chest pain, dyspnea, and menorrhagia. She had been complaining of pleuritic chest pain for 5 years, the onset of which corresponds to the start of her menstrual cycle and is relieved with cessation of menses. Initial laboratory studies revealed a severe microcytic anemia with normal coagulation profile. Chest X-ray showed small right pleural effusion and suspicious for airspace disease. A computed tomography (CT) of chest was ordered for further clarification and identified large right pleural effusion. CT-guided thoracentesis removed 500 ml of serosanguinous fluid consisting of blood elements. There can be multiple sites involved with endometriosis and can present with wide range of symptoms that occur periodically with menses in young woman. The history and pleural fluid findings of this case are suggestive of Thoracic Endometriosis Syndrome. The diagnosis of this is often missed or delayed by clinicians, which can result in recurrent hospitalization and other complications. As internists we should be suspicious of atypical presentations of endometriosis and treat them early before complications develop. This case also highlights the importance of suspecting atypical etiologies for pleural effusion.

scholarly journals Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult

2021 ◽  
Vol 14 (9) ◽  
pp. e244518
Author(s):  
Dilip Johny ◽  
Kodangala Subramanyam ◽  
Nandakishore Baikunje ◽  
Giridhar Belur Hosmane
Keyword(s):  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Low Voltage ◽  
Pericardial Fluid ◽  
Rare Presentation ◽  
Large Pericardial Effusion ◽  
Left Pleural Effusion ◽  
Dimensional Echocardiography ◽  
Cardiac Manifestations

COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to the emergency department with palpitations, breathlessness and orthopnoea. His ECG showed sinus tachycardia with low-voltage complexes, chest X-ray showed cardiomegaly and left pleural effusion and two-dimensional echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. He was taken up for emergency pericardiocentesis which showed haemorrhagic pericardial fluid. Intercostal drainage insertion was done for left-sided large pleural effusion. After ruling out all the other causes for haemorrhagic pericardial effusion, the patient was started on colchicine, steroids, ibuprofen and antibiotics to which he responded. Both pericardial and pleural effusions resolved completely on follow-up.

scholarly journals Pleural Sarcoidosis and Occult Lymphatic Anthracosis: An Unusual Symptomatic Association

2020 ◽  
Author(s):  
Rosa Alves ◽  
Bruno Sousa ◽  
Francisco d'Orey ◽  
Pedro Sequeira ◽  
Ana Oliveira ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Inflammatory Disease ◽  
Clinical Presentation ◽  
Unknown Aetiology ◽  
Pleuritic Chest Pain ◽  
Middle Aged ◽  
Bronchial Disease ◽  
Wide Range ◽  
Granulomatous Diseases

Sarcoidosis is a chronic multisystemic inflammatory disease of unknown aetiology. Virtually any organ or system can be involved, resulting in a wide range of clinical presentation. Pleural sarcoidosis is rare. Pleural effusion can only be attributed to pleural sarcoidosis in the presence of pleural non-caseating epithelioid granulomas and after excluding other granulomatous diseases. Anthracosis is a pneumoconiosis associated with thoracic adenopathies and bronchial disease, and it is usually asymptomatic. The authors present a case of a middle-aged man hospitalized due to cough, right-sided pleuritic chest pain and trepopnoea.

scholarly journals A Rapidly Progressing Pleural Effusion within 24 Hours: A Case Report

2021 ◽  
Author(s):  
Bassem Alhariri ◽  
Ayisha Ameen ◽  
Abdulqadir Nashwan
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Shoulder Pain ◽  
Left Shoulder ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain

Patients with pleural effusion are mostly presenting with shortness of breath and pleuritic chest pain. This report describes a case of PE who presented with left shoulder pain and was found to have rapidly accumulating massive effusion within 24 hours of presentation. Thoracocentesis was performed a showed an exudative picture

scholarly journals The incidence of myopericarditis in patients with COVID-19

2021 ◽  
Vol 13 (3) ◽  
pp. 203-207
Author(s):  
Atoosa Mostafavi ◽  
Seyed Abdol Hussein Tabatabaei ◽  
Somayeh Zamani Fard ◽  
Fatemeh Majidi ◽  
Abbas Mohagheghi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Laboratory Data ◽  
Left Ventricular ◽  
Definite Diagnosis ◽  
Pleuritic Chest Pain ◽  
Qt Interval Prolongation ◽  
Organ Systems ◽  
Hemodynamic Deterioration

Introduction: SARS-COV-2 can affect different organ systems, including the cardiovascular system with wide spectrum of clinical presentations including the thrombotic complications, acute cardiovascular injury and myopericarditis. There is limited study regarding COVID-19 and myopericarditis. The aim of this study was to evaluate myopericarditis in patients with definite diagnosis of COVID-19. Methods: In this observational study we analyzed the admitted patients with definite diagnosis of COVID-19 based on positive RT-PCR test. Laboratory data, and ECG changes on days 1-3-5 were analyzed for sign of pericarditis and also QT interval prolongation. Echocardiography was performed on days 2-4 and repeated as necessary, and one month after discharge for possible late presentation of symptom. Any patient with pleuritic chest pain, and pericardial effusion and some rise in cardiac troponin were considered as myopericarditis. Results: A total of 404 patients (18-90 years old, median =63, 273 males and 131 females) with definite diagnosis of COVID-19 were enrolled in the study. Five patients developed in-hospital pleuritic chest pain with mild left ventricular dysfunction and mild pericardial effusion and diagnosed as myopericarditis, none of them proceed to cardiac tamponade. We found no case of late myopericarditis. Conclusion: Myopericarditis, pericardial effusion and cardiac tamponade are rare complication of COVID-19 with prevalence about 1.2 %, but should be considered as a possible cause of hemodynamic deterioration.

scholarly journals Massive Pericardial Effusion as The First Manifestation of Childhood Non-Hodgkin’s Lymphoma: A Case Report

2021 ◽  
Author(s):  
Behzad Alizadeh ◽  
Zahra Shaye ◽  
Zahra Badiea ◽  
Paria Dehghanian
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Pericardial Effusion ◽  
Hodgkin Lymphoma ◽  
Hodgkin's Lymphoma ◽  
Pleuritic Chest Pain ◽  
Non Hodgkin Lymphoma ◽  
Non Hodgkin's Lymphoma ◽  
Advanced Malignancies ◽  
Pericardial Involvement

Although one of the serious manifestations of advanced malignancies is pericardial involvement, pericardial involvement of lymphoma is extremely rare. We present a case of a 6-year-old girl arriving at the hospital with dyspnea and pleuritic chest pain, which is eventually diagnosed with massive pericardial effusion due to mediastinal non-Hodgkin lymphoma.

scholarly journals A Very Rare Cause of Pleuritic Chest Pain: Bilateral Pleuritis as a First Sign of Familial Mediterranean Fever

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Sevket Ozkaya ◽  
Saliha E. Butun ◽  
Serhat Findik ◽  
Atilla Atici ◽  
Adem Dirican
Keyword(s):  
Abdominal Pain ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Familial Mediterranean Fever ◽  
Gene Mutation ◽  
Colchicine Treatment ◽  
Pleuritic Chest Pain ◽  
Mediterranean Fever ◽  
Recurrent Pleural Effusion ◽  
Gene Mutation Analysis

The familial Mediterranean fever (FMF), also called recurrent polyserositis, is characterized by reccurrent episodes of serositis at pleura, peritoneum, and synovial membrane and fever. We present a patient with recurrent bilateral pleural effusion due to serositis attacks as a first sign of FMF. A 59-year-old Turkish man suffered from recurrent pleuritic chest pain due to pleural effusion and atelectasis. The etiology was not found, and his symptoms were spontaneously recovered during several weeks. The pleuritic chest pain was associated with abdominal pain in the last attack. The gene mutation analysis revealed the homozygosity of FMF (F479L) gene mutation in both our patient and his grandchild. After the colchicine treatment, the attack has not developed. In conclusion, recurrent pleural effusion and pleuritic chest pain may be the first signs of the FMF.

Diaphragmatic Hernia Simulating a Left Pleural Effusion

PEDIATRICS ◽  
2003 ◽  
Vol 112 (6) ◽  
pp. e487-e490 ◽  
Author(s):  
J. L. Wooldridge ◽  
D. A. Partrick ◽  
D. D. Bensard ◽  
R. R. Deterding
Keyword(s):  
Pleural Effusion ◽  
Diaphragmatic Hernia ◽  
Left Pleural Effusion

Twenty-three year-old with pleuritic chest pain

Heart ◽  
2018 ◽  
Vol 105 (6) ◽  
pp. 464-469
Author(s):  
Karina P Gopaul ◽  
Helen M Parry ◽  
Damien Cullington
Keyword(s):  
Chest Pain ◽  
Congenital Heart ◽  
White Cell Count ◽  
Coarctation Of The Aorta ◽  
List Type ◽  
Pleuritic Chest Pain ◽  
Reactive Protein ◽  
Pulmonary Angiogram ◽  
Night Sweats ◽  
Ct Pulmonary Angiogram

Clinical introductionA 23-year-old woman followed at another medical centre for congenital heart disease (CHD) presented to our emergency clinic with 3 weeks of bilateral pleuritic chest pain. She returned from holiday in Greece 6 weeks earlier where a tattoo and nasal piercing had been performed. There was no history of night sweats or fever.Her temperature was 37.5°C, heart rate 120 beats/min, oxygen saturations 94% on room air and blood pressure 110/74. Her chest was clear and there was systolic murmur on auscultation. The chest radiograph showed peripheral bilateral lower zone atelectasis. The ECG demonstrated sinus tachycardia. The haemoglobin was 11.2 g/dL, white cell count 10.18×109/L, C-reactive protein 67 mg/L (normal <5 mg/L) and D dimer=430 ng/mL (normal <230 ng/mL).A pulmonary embolus was suspected and a CT pulmonary angiogram was performed (figure 1).QuestionBased on the CT findings, what is the most likely underlying congenital heart lesion in this patient?Bicuspid aortic valveCoarctation of the aortaFontan circulationParachute mitral valveVentricular septal defectFigure 1CT pulmonary angiogram (coronal views).

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