scholarly journals Right lung complete atelectasis: an endotracheal tube displacement complication

2021 ◽  
Vol 2021 (9) ◽  
Author(s):  
Apostolos Dimos ◽  
Andrew Xanthopoulos ◽  
Filippos Triposkiadis
Keyword(s):  
Emergency Treatment ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Left Main ◽  
X Ray ◽  
Breath Sounds ◽  
History Of ◽  
Chest X Ray ◽  
Post Intubation ◽  
The Right

ABSTRACT A 78-year-old, overweight woman with a severe individual history of the cardiovascular system was admitted in the intensive care unit with acute pulmonary edema. Despite appropriate emergency treatment, the patient did not show any clinical improvement and emergency intubation was decided. Post-intubation physical examination revealed dullness to percussion, absent breath sounds and reduced chest excursion of the right hemithorax combined with a gradual drop in blood pressure and oxygen saturation. An emergency chest X-ray showed opacification of the entire right lung and an ipsilateral shift of the mediastinum. Improvement of the patient’s respiratory and hemodynamic status was observed immediately after the partial withdrawal of the tube. Tube displacement is a relative frequent complication and concerns mainly the right main bronchus due to anatomical procedures. However, the above case is a rare case of tube displacement in the left main bronchus, which led to total atelectasis of the rightlung.

scholarly journals Lifelong Idiopathic Unilateral Diaphragmatic Paralysis With Recurrent Pneumonia: A Case Report

2020 ◽  
Vol 10 (1) ◽  
pp. 26743
Author(s):  
Khosrow Agin ◽  
Akram Sabkara ◽  
Farzaneh Sadat Mirsafai Rizi ‎ ◽  
Bita Dadpour ◽  
Maryam Vahabzadeh ◽  
...  
Keyword(s):  
Primary Diagnosis ◽  
Diaphragmatic Paralysis ◽  
Recurrent Pneumonia ◽  
Emergency Center ◽  
Diabetes Mellitus Type Ii ◽  
X Ray ◽  
Breath Sounds ◽  
History Of ◽  
Chest X Ray ◽  
The Right

A 50-year-old woman was admitted to the emergency center with dyspnea, cough, and fever symptoms. She had a medical history of diabetes mellitus type II, rheumatoid arthritis, as well as several admission records due to aspiration pneumonia. The primary diagnosis was diabetic ketoacidosis and pneumonia. Normal breath sounds were reduced on the lower posterior right side of the thorax. A standard chest x-ray and lung Computed Tomography (CT) scan revealed collapse consolidation in the Right Lower Lobes (RLL) and Right Middle Lobes (RML). We here presented a case of unilateral diaphragmatic paralysis with a history of recurrent pneumonia.

scholarly journals Perplexing case of lung mass perfectly mimicking a malignancy

2019 ◽  
Vol 12 (7) ◽  
pp. e229273
Author(s):  
Eid Humaid Alqurashi ◽  
Ahmed Sayeed ◽  
Hasheema Hasheem Alsulami ◽  
Hadeel Mashhour Al-Qurashi
Keyword(s):  
Connective Tissue ◽  
Connective Tissue Disease ◽  
Wedge Resection ◽  
Biopsy Result ◽  
X Ray ◽  
Breath Sounds ◽  
History Of ◽  
Chest X Ray ◽  
The Right ◽  
Histopathology Examination

A 35-year-old man, a known asthmatic and with a history of smoking presented with a history of recurrent episodes of mild haemoptysis. On examination, there was decreased intensity of breath sounds on the right infraclavicular area. The chest X-ray and CT chest showed a mass in right upper lobe with nodules in the other lobe. The VAT showed large heavily vascularised mass with surface laden with multiple nodules. The wedge resection of the mass was taken and sent for histopathology examination. The biopsy result showed picture suggestive of connective tissue disease associated follicular bronchiolitis. The patient did not have any signs or symptoms of connective tissue disease. However he was positive for Rheumatoid factor, ANA, anti-RO, anti-CCP antibodies. He was started on steroids and azathioprine. After 6 months of treatment, the size of the mass and nodules reduced by 50% and ESR was reduced to 5 from 75.

scholarly journals Fracture and aspiration of tracheostomy tube: A case report

2018 ◽  
Vol 25 (6) ◽  
pp. 371-373
Author(s):  
William Wilson ◽  
DM Nagaraja ◽  
Ayesha Dias ◽  
Shakuntala Murty
Keyword(s):  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Rare Complication ◽  
Late Complication ◽  
Metal Tube ◽  
Left Main ◽  
X Ray ◽  
Organophosphorus Poisoning ◽  
History Of ◽  
Chest X Ray

Fracture and aspiration of tracheostomy tube is a rare late complication of the tracheostomized patient. We report a case of a 30-year-old male patient, who was tracheostomized 2 years ago for prolonged ventilation secondary to organophosphorus poisoning. He presented with history of minimal cough without any respiratory distress and was otherwise hemodynamically stable. The chest x-ray showed a metal tube lodged in the left main bronchus. The aspirated tracheostomy tube was removed by flexible bronchoscopy without any complications. Through this case, the authors highlight the need for proper care of a tracheostomy tube and also a rare complication of tracheostomy tube.

Carinal resection is performed with an end-to-end anastomosis between the distal trachea and the left main bronchus and an end-to-side anastomosis is performed between the trachea and the right main bronchus

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 547-547
Author(s):  
Monica Casiraghi ◽  
Alessio Vincenzo Mariolo ◽  
Domenico Galetta ◽  
Francesco Petrella ◽  
Daniela Brambilla ◽  
...  
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Left Main ◽  
Carinal Resection ◽  
End To End ◽  
The Right

scholarly journals A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Alido Soumana ◽  
Aboubacar Samaila ◽  
Lamine Mahaman Moustapha ◽  
Moumouni Kamaye ◽  
Balkissa Daouda ◽  
...  
Keyword(s):  
Nasal Swab ◽  
Severe Acute Malnutrition ◽  
Fatal Case ◽  
Acute Malnutrition ◽  
Rt Pcr ◽  
X Ray ◽  
Laboratory Confirmation ◽  
History Of ◽  
Chest X Ray ◽  
The Right

While there have been very few fatal cases, SARS-CoV-2 has been reported in paediatric patients. This study aims to describe a fatal case of COVID-19 in a child with severe acute malnutrition. The eight-month-old child presented with fever, diarrhoea, and difficulty in breathing. The mother of the child had fever and shortness of breath four weeks before she died. Physical examination revealed lethargy, dehydration, and severe weight loss with a weight of 5 kg at a height of 78 cm tall. The weight-for-height index was less than three Z-scores, which corresponds to severe acute malnutrition. The pulmonary examination revealed moderate respiratory distress, and the chest X-ray presented features suggestive of pneumonia in the right lung area. In the context of the COVID-19 outbreak in Niger and the circumstances of the mother’s death, a nasal swab was taken for laboratory confirmation. Treatment provided to the child included intranasal oxygen, antibiotics, and a dietary program with therapeutic milk. The child died 48 hours after his admission. The history of contact with a SARS-CoV-2 suspect or positive patient should lead to screening for infection by using RT-PCR. It is important to investigate malnutrition as a potential risk factor for severe SARS-CoV-2 infection and resultant mortality.

scholarly journals Right-Sided Approach for Segmental Resection of the Left Main Bronchus—Technical Considerations

2020 ◽  
Vol 15 (3) ◽  
pp. 279-282
Author(s):  
Veronika Kroepfl ◽  
Caecilia Ng ◽  
Herbert Maier ◽  
Paolo Lucciarini ◽  
Stefan Scheidl ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Segmental Resection ◽  
Left Main ◽  
Typical Carcinoid ◽  
Bronchial System ◽  
Left Main Stem Bronchus ◽  
The Right ◽  
Resection And Anastomosis

Carcinoids of the left main bronchus are rare tumors of the bronchial system and patients often present with dyspnea, asthma-like symptoms, and pneumonia. Gold standard for therapy of carcinoids is surgical resection, but the surgical approach for segmental resection and anastomosis of the left main bronchus is a matter of discussion. With a left-sided approach the access to the bronchus is blocked by the aortic arch and the pulmonary vein. If a right-sided approach is performed, the problem of ventilation during resection and anastomosis of the bronchus occurs. We present a surgical approach from the right side using intraoperative extracorporeal membrane oxygenation to assure oxygen supply for resection of a typical carcinoid of the left main stem bronchus, and discuss the current literature.

COMPRESSION OF THE LEFT MAIN BRONCHUS IN 3-MONTHS-OLD CHILD WITH TUBERCULOSIS LESION OF THE MEDIASTINAL LYMPH NODES

2021 ◽  
Vol 100 (1) ◽  
pp. 239-243
Author(s):  
D.A. Andreev ◽  
◽  
I.N. Khvorostov ◽  
O.N. Damirov ◽  
O.I. Verbin ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Main Bronchus ◽  
Left Lung ◽  
Granulomatous Inflammation ◽  
Left Main Bronchus ◽  
Mediastinal Lymph Nodes ◽  
Left Main ◽  
X Ray ◽  
Contrast Ct ◽  
Tracheal Bifurcation

The article presents a case of successful surgical treatment of a 3-month-old child with a rare pathology – tuberculosis lesion of the intrathoracic lymph nodes causing compression of the left main bronchus. The child was admitted with signs of respiratory failure. An X-ray examination revealed signs of emphysema of the left lung. According to the data of contrast CT, a volumetric hypodensive formation was detected, which slightly accumulated contrast, with a capsule up to 0,3 cm thick, located in the area of the tracheal bifurcation, causing compression of the left main bronchus, esophagus, pulmonary bifurcation. During tracheobronchoscopy, a narrowing of the main bronchus to 1 mm was found immediately after bifurcation of the trachea. During the operation, a formation with a diameter of up to 2 cm was removed. According to the results of a morphological study, the formation is regarded as tuberculous granulomatous inflammation of the lymph node. The rarity of the pathology causes difficulties in diagnosis and treatment.

Peran Computed Tomography (CT) Toraks dalam Diagnosis Abses yang Menyerupai Massa Mediastinum

2016 ◽  
Vol 1 (3) ◽  
pp. 178-184
Author(s):  
Krishna P. Wicaksono ◽  
Aziza G. Icksan
Keyword(s):  
Clinical History ◽  
Chest Ct ◽  
X Ray ◽  
Precise Diagnosis ◽  
Life Threatening ◽  
History Of ◽  
Facial Edema ◽  
Chest X Ray ◽  
The Right ◽  
Peripheral Enhancement

Mediastnal abscess is rare, yet it could be a life threatening infecton. A precise diagnosis followed by adequate treatments need to be quickly established. Clinical informaton is usually not diagnostc. Therefore, radiological examinatons have important role.We report a ffy-one years old female with clinical history of sore throat, cough and neck-facial edema since fve days before admission. Laboratory examinatons revealed leukocytosis and ESR elevaton. Chest x-ray depicted a homogenous consolidaton in the right paratracheal region which deviated trachea to the lef. On enhanced chest CT examinaton, we found a cystc mass in the right paratracheal region, extending to the right supero-anterior mediastnum, with peripheral enhancement, air-?uid level and minimal right pleural e?usion, suggestve for mediastnal abscess. Bronchoscopy found no abnormality.Several days later, mediastnal abscess was confrmed surgically and drained through thoracotomy. Although culture of pus failed to grow any bacteria, histopathological examinaton confrmed a non-specifc chronic in?ammaton with no sign of malignancy. The main purpose of this report is to emphasize the importance of enhanced chest CT in evaluatng patent with tumor mimicking mediastnal abscess.

scholarly journals Cryptococcosis, silicosis, and tuberculous pseudotumor in the same pulmonary lobe

2013 ◽  
Vol 39 (5) ◽  
pp. 620-626 ◽  
Author(s):  
Geruza Alves da Silva ◽  
Daniel Ferracioli Brandao ◽  
Elcio Oliveira Vianna ◽  
Joao Batista Carlos de Sa Filho ◽  
Jose Baddini-Martinez
Keyword(s):  
Surgical Approach ◽  
Opportunistic Infections ◽  
Histopathological Analysis ◽  
Noninvasive Methods ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Atypical Presentations ◽  
The Right ◽  
Surrounding Parenchyma

Tuberculosis and cryptococcosis are infectious diseases that can result in the formation of single or multiple nodules in immunocompetent patients. Exposure to silica is known to raise the risk of infection with Mycobacterium tuberculosis. We report the case of an elderly man with no history of opportunistic infections and no clinical evidence of immunodeficiency but with a six-month history of dry cough and nocturnal wheezing. A chest X-ray revealed a mass measuring 5.0 × 3.5 cm in the right upper lobe. The diagnostic approach of the mass revealed tuberculosis. The histopathological analysis of the surrounding parenchyma reveled silicosis and cryptococcosis. Cryptococcosis was also found in masses identified in the mediastinal lymph nodes. The surgical approach was indicated because of the degree of pleuropulmonary involvement, the inconclusive results obtained with the invasive and noninvasive methods applied, and the possibility of malignancy. This case illustrates the difficulty inherent to the assessment of infectious or inflammatory pulmonary pseudotumors, the differential diagnosis of which occasionally requires a radical surgical approach. Despite the presence of respiratory symptoms for six months, the first chest X-ray was performed only at the end of that period. We discuss the possible pathogenic mechanisms that might have led to the combination of three types of granulomatous lesions in the same lobe, and we emphasize the need for greater awareness of atypical presentations of pulmonary tuberculosis.

scholarly journals Misplacement of Tracheostomy Tube in the Right Main Bronchus: a Rare Complication

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Armin Amirian ◽  
Reza Shahriarirad ◽  
Bizhan Ziaian ◽  
Parviz Mardani ◽  
Amirhossein Erfani
Keyword(s):  
Squamous Cell Carcinoma ◽  
Tracheostomy Tube ◽  
Pressure Effect ◽  
Main Bronchus ◽  
Rare Complication ◽  
Fiberoptic Bronchoscopy ◽  
X Ray ◽  
Metastatic Squamous Cell Carcinoma ◽  
Chest X Ray ◽  
The Right

A 38-year-old woman known case of metastatic squamous cell carcinoma of the cervical esophagus due to increasing dyspnea and stridor attributed to the pressure effect of the primary mass was scheduled for tracheostomy, which ended up in the right main bronchus. This rare complication occurred using a tracheostomy tube number 7.5 via a vertical tracheotomy over 4th and 5th tracheal rings. The misplacement was confirmed by chest X-ray and fiberoptic bronchoscopy, and the tracheostomy tube was successfully repositioned in a nonoperative approach.

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