scholarly journals Congenital Chylothorax

2009 ◽  
Vol 9 ◽  
pp. 431-434 ◽  
Author(s):  
Saad Lahmiti ◽  
Jamila Elhoudzi ◽  
Salwa Baki ◽  
Abdelmounaim Aboussad
Keyword(s):  
Pleural Effusion ◽  
Respiratory Distress ◽  
Conservative Therapy ◽  
Biochemical Study ◽  
First Line ◽  
X Ray ◽  
Favorable Prognosis ◽  
Left Pleural Effusion ◽  
Congenital Chylothorax ◽  
Term Baby

Although pleural effusion is a rare cause of respiratory distress in newborns, being familiar with this disease is very important because of the generally favorable prognosis when the diagnosis is done early and therapy is prompt. We report a case of a full-term baby diagnosed with respiratory distress after 1 week of life. An X-ray of his chest showed a left pleural effusion. Moreover, a thoracentesis combined with a biochemical study of the pleural fluid confirmed the diagnosis of chylothorax. In our case, the conservative therapy was successful. The baby was followed up for a period of 6 months, with no evidence of recurrence. We have concluded, therefore, that conservative management should be the first line of treatment in chylothorax cases. If it does not work, a surgical approach might be considered.

scholarly journals Correlation between chest x-ray findings and outcomes of patients with mechanical ventilation

2013 ◽  
Vol 53 (1) ◽  
pp. 6
Author(s):  
Indah Nurhayati ◽  
Muhammad Supriatna ◽  
Kamilah Budhi Raharjani ◽  
Eddy Sudijanto
Keyword(s):  
Mechanical Ventilation ◽  
Retrospective Study ◽  
Pleural Effusion ◽  
Respiratory Distress ◽  
Pulmonary Edema ◽  
Patient Outcomes ◽  
Morbidity And Mortality ◽  
Chi Square ◽  
X Ray ◽  
Chest X Ray

Background Most infants and children admitted to the pediatricintensive care unit (PICU) have respiratory distress and pulmonarydisease as underlying conditions. Mechanical ventilation may beused to limit morbidity and mortality in children with respiratoryfailure.Objective To assess a correlation between chest x-ray findingsand outcomes of patients with mechanical ventilation.Methods This retrospective study was held in Dr. KariadiHospital, Semarang, Indonesia. Data was collected from themedical records of children admitted to the PICU from Januaryto December 2010, who suffered from respiratory distress andused mechanical ventilation. We compared chest x-ray findings tothe outcomes of patients. Radiological expertise was provided byradiologists on duty at the time. Chi-square and logistic regressiontests were used for statistical analysis.Results There were 63 subjects in our study, consisting of 28 malesand 35 females. Patient outcomes were defined as survived or died,43 subjects ( 68%) and 20 subjects (3 2%), respectively. Chest x-rayfindings revealed the following conditions: bronchopneumonia48% (P=0.298; 95%CI 0.22 to 1.88), pleural effusion 43%(P=0.280; 95%CI 0.539 to 4.837) , pulmonary edema 6%(P=0.622; 95%CI 0.14 to 14.62) and atelectasis 3% (P=0.538;95%CI 0.03 to 7 .62). None of the chest x-ray findings significantlycorrelated to patient outcomes.Conclusion Chest x-ray findings do not correlate to patientoutcomes in pediatric subjects with mechanical ventilation inthe PICU of Dr. Kariadi Hospital, Semarang, Indonesia.

scholarly journals Umbilical Venous Catheterization in a Neonate Causing Pleural Effusion

2021 ◽  
Vol 36 (2) ◽  
pp. e242-e242
Author(s):  
Suresh Kotinatot ◽  
Devendra Jadhav ◽  
Ahmed Elajab ◽  
Munira Al Maazmi
Keyword(s):  
Pleural Effusion ◽  
Parenteral Nutrition ◽  
Respiratory Distress ◽  
Total Parenteral Nutrition ◽  
Rare Case ◽  
Rare Complication ◽  
Venous Catheter ◽  
X Ray ◽  
Fluid Analysis ◽  
Venous Catheterization

Pleural effusion is an extremely rare complication in neonates after umbilical venous catheterization that can present with respiratory distress, a neonatal emergency. It needs timely intervention to reduce respiratory distress. We report an interesting and rare case where a term newborn developed right-sided pleural effusion after umbilical venous catheter (UVC) insertion and starting on total parenteral nutrition (TPN). Pleural effusion was confirmed by X-ray and ultrasound and treated with intercostal drainage. The aspirated fluid was TPN, as evidenced by pleural fluid analysis. Pleural effusion resolved after removing the UVC.

Frequency of Left Plueral Effusion in Acute Necrotizing Pancreatitis

2021 ◽  
Vol 15 (10) ◽  
pp. 3349-3351
Author(s):  
Hunain . ◽  
Farah Saleem ◽  
Muhammad Waqas Arshad ◽  
Kauser Shaikh ◽  
Mamoona Shaikh ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Pleural Effusion ◽  
Serum Amylase ◽  
Necrotizing Pancreatitis ◽  
Case Series ◽  
Acute Necrotizing Pancreatitis ◽  
Amylase Level ◽  
X Ray ◽  
Left Pleural Effusion ◽  
Acute Necrotizing

Objective: The aim of this study is to calculate the prevalence of left plueral effusion in acute necrotizing pancreatitis. Study Design: Observational/ case series Place and Duration: Conducted at surgery department of Saidu Teaching Hospital, Swat and Ibne Sina Hospital and Research Institute, Multan for duration of six months from January 2021 to June 2021. Methods: A total of 95 patients, both males and females, ranging in age from 15 to 65 years, were presented. After receiving informed written consent, the baseline comprehensive demographics of the patients presented were recorded, including age, gender, and body mass index. Patients with acute pancreatitis and serum amylase levels greater than 300U/dL were eligible to participate. Patients were subjected to X-ray and CT scans in their entirety. Prevalence of necrotizing pancreatitis was calculated by CT scan and for left plueral effusion X-ray of chest was taken. SPSS 24.0 version was used to analyze complete data. Results: Majority of the patients 65 (68.4%) were females and 30 (31.6%) were males with mean age 39.14+5.67 years. 26 (27.4%) cases had BMI less than 20kg/m2 and the majority were >20kg/m2. Gallstone was the most common cause of acute pancreatitis found in 45 (47.4%) cases, followed by alcoholism 25 (26.3%) and medications 12 (12.6%). Among 95 cases, prevalence of necrotizing pancreatitis was 42 (44.2%) in which 40 cases had left plueral effusion. Mortality rate among necrotizing pancreatitis was 13 (33.3%). Conclusion: We found that the majority of individuals with necrotizing pancreatitis experienced pleural effusion on the left side. Thus, patients with acute pancreatitis who have a high serum amylase level must be treated earlier if they have a left pleural effusion because of severity. Keywords: Plueral Effusion, Acute Necrotizing Pancreatitis, Mortality

scholarly journals Lung Ultrasonography Decreases Radiation Exposure in Newborns with Respiratory Distress

2021 ◽  
Author(s):  
Umit Ayse Tandircioglu ◽  
Sule Yigit ◽  
Berna Oguz ◽  
Gozdem Kayki ◽  
Hasan Tolga Celik ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Radiation Exposure ◽  
Congenital Heart ◽  
Newborn Infants ◽  
Imaging Method ◽  
Lung Ultrasonography ◽  
First Line ◽  
Catheter Position ◽  
X Ray ◽  
Chest X Ray

Abstract Chest X-ray(CXR) is commonly used as a first line imaging method to diagnose the reason of respiratory distress in NICUs.Lung ultrasound is a new diagnostic tool for lung imaging. We aimed to determine the decrease in the number of CXRs on the first day of life in newborns with respiratory distress,with the use of lung ultrasonography. From January 2019 to June 2020,104 newborn infants hospitalized in the NICU with respiratory distress on the first day of life enrolled in this study(ClinicalTrials.govIdentifier NCT04722016).We used ultrasound as the first line technique for lung imaging.CXR was taken to determine endotracheal tube and umbilical catheter position or if considered necessary by the physician in charge of the infant.We calculated decreased number of CXR for every patient and evaluated the estimated decrease in radiation exposure. 104 neonates with median 36 weeks(25–40)gestational age and birth weight 2410gr(600–4100) enrolled in the study.Seventy(67,3%)of these babies were male.In the study group,24(23,1 %)patients were diagnosed with respiratory distress syndrome(RDS),49(47,1 %) patients with transient tachypnea of newborn(TTN),27(26 %) with pneumonia,4(3,8 %)with congenital heart diseases.Lung ultrasonography were performed 210 times for all infants,but CXRs were performed a total of only 107 times.CXR wasnot taken in 27 of the patients with a diagnosis of TTN,in 2 of the patients with a diagnosis of congenital pneumonia,and in one of the patients with congenital heart disease.The rate of patients who have never had a chest x-ray was 28,8%.Conclusions:We observed that usage of lung ultrasonography decreased the number of chest X-ray and radiation exposure in newborns with respiratory distress.

scholarly journals Explosive Pleuritis

2001 ◽  
Vol 12 (2) ◽  
pp. 104-107 ◽  
Author(s):  
Jasdeep K Sharma ◽  
Thomas J Marrie
Keyword(s):  
Computed Tomography ◽  
Pleural Effusion ◽  
Respiratory Distress ◽  
Pleural Fluid ◽  
Case Definition ◽  
Pulmonary Tissue ◽  
X Ray ◽  
Mediastinal Shift ◽  
Chest X Ray ◽  
The Right

The objective of the present paper is to describe the clinical and computed tomography features of 'explosive pleuritis', an entity first named by Braman and Donat in 1986, and to propose a case definition. A case report of a previously healthy, 45-year-old man admitted to hospital with acute onset pleuritic chest pain is presented. The patient arrived at the emergency room at 15:00 in mild respiratory distress; the initial chest x-ray revealed a small right lower lobe effusion. The subsequent clinical course in hospital was dramatic. Within 18 h of admission, he developed severe respiratory distress with oxygen desaturation to 83% on room air and dullness of the right lung field. A repeat chest x-ray, taken the morning after admission, revealed complete opacification of the right hemithorax. A computed tomography scan of the thorax demonstrated a massive pleural effusion with compression of pulmonary tissue and mediastinal shift. Pleural fluid biochemical analysis revealed the following concentrations: glucose 3.5 mmol/L, lactate dehydrogenase 1550 U/L, protein 56.98 g/L, amylase 68 U/L and white blood cell count 600 cells/mL. The pleural fluid cultures demonstrated light growth of coagulase-negative staphylococcus and viridans streptococcus, and very light growth ofCandida albicans. Cytology was negative for malignant cells. Thoracotomy was performed, which demonstrated a loculated parapneumonic effusion that required decortication. The patient responded favourably to the empirical administration of intravenous levofloxacin and ceftriaxone, and conservative surgical methods in the management of the empyema. This report also discusses the patient's rapidly progressing pleural effusion and offers a potential case definition for explosive pleuritis. Explosive pleuritis is a medical emergency defined by the rapid development of a pleural effusion involving more than 90% of the hemithorax over 24 h, which causes compression of pulmonary tissue and mediastinal shift to the contralateral side.

Novel homozygous missense mutation in ABCA3 protein leading to severe respiratory distress in term infant

2020 ◽  
Vol 13 (10) ◽  
pp. e235520
Author(s):  
Naveen Parkash Gupta ◽  
Anil Batra ◽  
Ratna Puri ◽  
Varun Meena
Keyword(s):  
Respiratory Distress ◽  
Missense Mutation ◽  
Hyaline Membrane Disease ◽  
Term Infant ◽  
Severe Respiratory Distress ◽  
X Ray ◽  
Homozygous Missense Mutation ◽  
Transporter Protein ◽  
Whole Exome ◽  
Term Baby

The term baby presented with respiratory distress with X-ray pictures consistent as hyaline membrane disease (HMD). Baby was ventilated and treated with surfactant. Because of the persistence of high ventilation needs with X-ray pictures consistent with HMD with a transient response to surfactant every time, the possibility of an inherited disorder of surfactant metabolism was kept. Whole-exome sequencing revealed a novel homozygous missense mutation in the gene for ATP binding cassette transporter protein A3. The baby died after 100 days of ventilation.

scholarly journals Study of pleural effusion in chronic kidney disease patient undergoing hemodialysis in Andhra Pradesh population

2019 ◽  
Vol 6 (4) ◽  
pp. 1262
Author(s):  
Yasar Arafath Shaikh
Keyword(s):  
Chronic Kidney Disease ◽  
Pleural Effusion ◽  
Kidney Disease ◽  
Cardiac Disease ◽  
Andhra Pradesh ◽  
Biochemical Study ◽  
Disease Patient ◽  
X Ray ◽  
Severe Degree ◽  
Venous Fistula

Background: About 85 patients aged between 30 to 65 years suffering with chronic kidney disease with pleural effusion undergoing hemodialysis were studied.Methods: X-ray, USG and Biochemical study was performed to confirm the Diagnosis.Results: The clinical manifestation was 17 (20%) had hypertension (HTN), 16 (18.8%) had DM (Diabetes mellitus), 12 (14.1%) had cardiac disease 9 (10.5%), had cardiovascular disease, 5 (5.8%) had malignancy. 10 (11.7%), had COPD, 13 (15.2%) had hepatitis 3 (3.5%) had thyroid disease, Hb%, profile was 40 (47%), had 9 to 9.5%, 45 (52.9%) had 10 to 10.5, protein (total) 39 (45.8%) had 6.2 to 6.5 g/dl and 46 (54.1%) had 66 to 6.9 g/dl Albumin 43 (50.5%) was 3.1 to 3.5 g/dl, 42 (49.4%) had 3.6 to 3.8 g/dl. Uric acid in 38 (44.7%) was 7.1 to 7.5 mg/dl, 47 (55.2%) had 7.6 to 8.2 mg/dl, Urea nitrogen in 44 (48.2%) was 88 to 89.2 mg/dl 44(51.7%) had 90 to 96.2 mg/dl GFR in 37 (43.5%) was 5.25 to 5.32 and 48 (56.4%) 5.33 to 6.24  ml/min/1.73 Acess to hemodialysis 50 (58.8%) had arterio- venous fistula or graft and 35 (41.1%) had catheter. The degree of pleural effusion in 58 (68.2%) had mild 22 (25.8%) had moderate   5 (5.8%) had severe degree of effusion.Conclusions: This pragmatic study will be quite useful to physician, urologist, nephrologist to treat such patients efficiently so that the life span of such patients will be increased and avoid the morbidity and long stay in hospitals.

scholarly journals Effusion under the microscope

2015 ◽  
Vol 77 (1) ◽  
Author(s):  
S.G. Chong ◽  
Z. Chauhan ◽  
E. Di Nino ◽  
A.O. Brien ◽  
B.P Casserly
Keyword(s):  
Rheumatoid Arthritis ◽  
Pleural Effusion ◽  
New Left ◽  
Rare Form ◽  
X Ray ◽  
Progressive Dyspnea ◽  
Left Pleural Effusion ◽  
Chest X Ray ◽  
Recurrent Pleural Effusion

Pseudochylothorax is a very rare form of pleural effusion. It is also called chyliform or cholesterol pleural effusion. It is usually a unilateral process and approximately one-third of patients are asymptomatic at presentation. We report a case of a 60 year old man with a background of rheumatoid arthritis who presented with progressive dyspnea. Chest X-ray revealed a new left pleural effusion and a small persistent right pleural effusion. He presented 5 years prior due to recurrent pleural effusion and no diagnosis was made. Repeat thoracentesis yielded 350 milliliters of thick, milky, tan-colored fluid.

scholarly journals Dyspnea: when the preliminary imaging is unconvincing

2015 ◽  
Vol 9 (2) ◽  
pp. 163
Author(s):  
Angelica Moretti ◽  
Francesca Croci ◽  
Franco Carmassi
Keyword(s):  
Pleural Effusion ◽  
Decision Making Process ◽  
Blood Gas ◽  
Cytological Examination ◽  
Arterial Blood Gas ◽  
X Ray ◽  
Arterial Blood ◽  
Lung Consolidation ◽  
Left Pleural Effusion ◽  
Chest X Ray

A 73-year-old man was admitted to the Emergency Room (ER) for dyspnea and cough from several months. In ER were performed blood sampling, chest X-ray, electrocardiogram, echocardiogram and arterial blood gas. A thoracic ultrasound (US) revealed in the left side an abundant pleural effusion and a lung consolidation area of about 5 cm without air bronchogram. A thoracentesis showed the presence of hemorrhagic effusion. Chest computed tomography (CT) revealed micro-pulmonary embolism, abundant left pleural effusion with atelectasis of the lower ipsilateral lobe. Meanwhile the chest CT revised by the pulmonologist appeared suspicious for the presence of cancer, the cytological examination of pleural fluid revealed the presence of an adenocarcinoma. While the patient was waiting for the bronchoscopy he had a stroke and died in a few days. In conclusion, we believe that thoracic US has to be considered an extension of the physical examination, it is a bedside tool and it represents a valid diagnostic and therapeutic method. Therefore thoracic US, if closely linked to the physician’s activity, can directly affect the decision-making process and management of the patient with dyspnea.

scholarly journals GAMBARAN FOTO TORAKS PADA EFUSI PLEURA DI BAGIAN/SMF RADIOLOGI FK UNSRAT RSUP PROF. DR. R.D. KANDOU MANADO PERIODE NOVEMBER 2014 – OKTOBER 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Melinda G. Lantu ◽  
Elvie Loho ◽  
Ramli Hadji Ali
Keyword(s):  
Pleural Effusion ◽  
Medical Record ◽  
Developing Country ◽  
Pleural Cavity ◽  
Descriptive Study ◽  
Bilateral Pleural Effusion ◽  
X Ray ◽  
Left Pleural Effusion ◽  
Chest X Ray ◽  
Excessive Accumulation

Abstract: Pleural effusion is defined as excessive accumulation of fluid in the pleural cavity. This condition occurs worldwide and becomes a major problem in developing country including Indonesia. This was a retrospective descriptive study. Samples were the whole data of chest X-ray patients available in the medical record with a radiological diagnosis of pleural effusion. The results showed that there were 77 samples aged 45-59 years old. Males (65%) were more frequent than females (35%). Based on the location of effusion, 31 patients with right pleural effusion, 25 patients with left pleural effusion, and 21 patients with bilateral pleural effusion. Conclusion: Pleural effusion was mostly found among people aged above 20 years old. Chest X-ray was an important investigation t confirm the diagnosis of pleural effusion. Keywords: pleural effusion, chest x-ray Abstrak: Efusi pleura didefinisikan sebagai penimbunan cairan berlebihan dalam rongga pleura. Penyakit ini terdapat diseluruh dunia, bahkan menjadi problema utama di negara-negara yang sedang berkembang termasuk Indonesia. Jenis penelitian ini retrospekif deskriptif. Sampel penelitian ialah seluruh data rekam medik foto thoraks pada pasien dengan diagnosis radiologik efusi pleura. Hasil penelitian mendapatkan 77 sampel, terbanyak pada kelompok umur 45-59 tahun. Efusi pleura lebih banyak ditemukan pada laki-laki (65%) dibandingkan perempuan (35%). Berdasarkan lokasi efusi, 31 sampel dengan lokasi efusi pleura dekstra, 25 pasien dengan lokasi efusi pleura sinistra, dan 21 pasien dengan lokasi efusi pleura bilateral. Simpulan: Efusi pleura sering didapatkan pada pasien di atas 20 tahun. Pemeriksaan foto toraks merupakan salah satu pemeriksaan penunjang yang sering dilakukan untuk mendiagnosis efusi pleura.Kata kunci: efusi pleura, foto toraks

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