scholarly journals Gastric perforation through a hiatus hernia into the left lung in an 84-year-old woman

2019 ◽  
Vol 12 (5) ◽  
pp. e227956
Author(s):  
Daniel Fitzpatrick ◽  
Mario Longondjo
Keyword(s):  
Hiatus Hernia ◽  
Left Lung ◽  
Sudden Onset ◽  
Ct Angiogram ◽  
Aortic Pathology ◽  
Oral Steroids ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Large Hiatus Hernia

An 84-year-old woman presented to the emergency department with a sudden onset of chest pain, shortness of breath and vomiting. She had a medical history of hiatus hernia, gastro-oesophgeal reflux disease and asthma only, but had several recent courses of oral steroids to treat her asthma. Initially she was hypoxic, tachycardic and normotensive. ECG was normal, chest X-ray showed a hiatus hernia and right middle zone consolidation. Inflammatory markers were normal. CT angiogram was performed to exclude aortic pathology, for which it was negative. It did however show a large hiatus hernia which had perforated and was communicating with the left lung. The patient deteriorated clinically and became hypotensive and more hypoxic. She was transferred to the intensive care unit but died 36 hours later as she was too unwell to undergo any exploratory surgery.

scholarly journals Pancreatic cyst-solid mass: tuberculosis

2021 ◽  
Vol 84 (4) ◽  
pp. 680-681
Author(s):  
C Wu ◽  
S Wang ◽  
B Hu
Keyword(s):  
Pancreatic Head ◽  
Total Bilirubin Level ◽  
Arterial Phase ◽  
Test Results ◽  
Solid Mass ◽  
Laboratory Test Results ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Chinese Male

Question: A 29-year-old Chinese male was admitted to our department with a history of right upper quadrant pain for two months, anorexia, weight loss about 5 kg and without fever. The pain radiated to the back and it got worst lately. He didn’t have a history of tuberculosis. The sclera was mild icteric. Laboratory test results showed total bilirubin level increased to 58 umol/L (normal level <28 umol/L) and tumor markers were normal. Chest X-ray was normal. Abdominal contrastenhanced CT showed a 25 x 30 mm cyst-solid mass in the head of pancreas (Figure1. A) and the lesion was mild enhancement in arterial phase. Pancreatic tumor was considered. Endoscopic ultrasonography confirmed the mass with uneven echo in the pancreatic head and the boundary of the mass was not clear (Figure1. B). The lesion may invade the portal vein. As the patient was young and the operation was very traumatic, the patient refused surgery unless the lesion was proved to be a tumor.

scholarly journals A rare case of left lung agenesis in a female teenager.

2012 ◽  
Vol 11 (4) ◽  
pp. 350-352
Author(s):  
Md Ankan Bandyopadhyay ◽  
Debabrata Saha ◽  
Kaushik Saha ◽  
Debraj Jash ◽  
Arnab Maji ◽  
...  
Keyword(s):  
Medical Science ◽  
Left Lung ◽  
Pulmonary Angiography ◽  
First Year ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Lung Agenesis ◽  
First Year Of Life ◽  
Routine Chest

Pulmonary agenesis is a rare congenital anomaly. History of recurrent chest infection in first year of life is the presenting symptom although patient may be asymptomatic and detected on routine chest x-ray. Our patient presented with recurrent chest infections since childhood. CT scan thorax revealed absence of lung tissue on left side with mediastinal shifting and herniation of right lung to left side. Pulmonary angiography confirmed the diagnosis of left lung agenesis. DOI: http://dx.doi.org/10.3329/bjms.v11i4.12610 Bangladesh Journal of Medical Science Vol. 11 No. 04 Oct’12  

scholarly journals Clinicoepidemiological profile and outcome in patients of covid 19 with normal chest x-ray: study of 51 patients

2020 ◽  
Vol 9 (1) ◽  
pp. 181
Author(s):  
Huma Firdaus ◽  
Nafees Ahmad Khan ◽  
Maqsumi Reza ◽  
Mansoor Ahmad Khan ◽  
Gishnu Krishnan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Age Group ◽  
Rt Pcr ◽  
X Ray ◽  
Good Outcome ◽  
Number Of Patients ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Time Of Presentation

Background: Covid 19 was declared a pandemic by WHO on 11 March 2020. Patients usually have pneumonia on chest x-ray at time of presentation however many patients also do not develop pneumonia and have normal chest x-ray.Methods: A total of 51 patients above the age of 15 years diagnosed with covid 19 by RT PCR of nasopharngeal/oropharyngeal samples were included in the study. History of symptoms onset was recorded, chest x-ray and haematological investigations were done of all patients.Results: A total of 51 patients >15 years of age were included in the study. 28 were male and 23 were female patients. Maximum number of patients were in age group 15-30 years. Most common presenting complain was fever (49% patients). Most common comorbidity was diabetes mellitus. There was no mortality reported in patients with normal chest x-ray.Conclusions: We conclude from the current study that patients with normal chest x-ray at the time of presentation have a very good outcome.

scholarly journals Infectious Mononucleosis Presenting with Loss of Taste and Smell During the SARS-CoV-2 Pandemic?

2020 ◽  
Author(s):  
Krishna Nareshkumar Patel ◽  
Muhammad Hussein ◽  
Amir Khalil ◽  
Najeeb Rehman ◽  
Hazim Mahdi ◽  
...  
Keyword(s):  
Infectious Mononucleosis ◽  
Close Contact ◽  
Blood Film ◽  
Progressive Dyspnoea ◽  
Barr Virus ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Epstein Barr ◽  
Taste And Smell

A 53-year-old woman presented during the SARS-CoV-2 pandemic with an 18-day history of pyrexia, myalgia, progressive dyspnoea and loss of taste and smell after a close contact had tested positive for SARS-CoV-2. In this period two swabs had been negative for SARS-CoV-2. Clinical examination was normal. During this admission a third SARS-CoV-2 swab was negative, and investigations showed mildly elevated inflammatory markers, mildly deranged liver function, atypical lymphocytes on a blood film and a normal chest x-ray. Her Epstein–Barr virus serology was positive and thus the diagnosis was infectious mononucleosis.

Early detection of vertebral artery dissection

2018 ◽  
Vol 11 (1) ◽  
pp. e226902
Author(s):  
Alice Morag MacArthur ◽  
Syed Mehdi
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Aneurysm ◽  
Sudden Onset ◽  
Artery Dissection ◽  
Left Middle Cerebral Artery ◽  
Ct Angiogram ◽  
Neurology Clinic ◽  
History Of ◽  
Cerebral Artery Aneurysm

A 36-year-old female patient presented to hospital with a 1-week history of occipital headache. It was sudden onset following a fall into a swimming pool. Examination was unremarkable. CT angiogram brain scan showed right vertebral artery dissection with a 1 cm dissection flap and a 3 mm left middle cerebral artery aneurysm. She was discharged on aspirin, with outpatient neurology clinic follow-up.

scholarly journals An Unusual Pulmonary Condition Presenting following Trauma

2006 ◽  
Vol 13 (7) ◽  
pp. 384-386
Author(s):  
John RA Turkington ◽  
Eamon McAteer ◽  
Rory P Convery
Keyword(s):  
Left Lung ◽  
Pleuritic Chest Pain ◽  
Radiographic Appearance ◽  
X Ray ◽  
System A ◽  
Difficulty Breathing ◽  
History Of ◽  
Chest X Ray ◽  
Fluid Levels ◽  
Lung Base

An 18-year-old man presented to the emergency department following an assault. He complained of left-sided pleuritic chest pain and difficulty breathing. Clinical examination revealed reduced air entry and coarse crepitations at the left lung base. A chest x-ray showed a large opacity at the left lung base that contained multiple cystic areas with air-fluid levels. Due to the history of trauma, a provisional diagnosis of a ruptured hemidiaphragm with small bowel herniation was made. Further imaging, including ultrasound, spiral computed tomography and magnetic resonance angiography, showed an aberrant vessel supplying the opacity and drainage into the pulmonary venous system. A diagnosis of a bronchopulmonary sequestration (intralobar type) was made. The differential diagnosis of the radiographic appearance is also discussed.

Mesalamine-induced eosinophilic pleural effusion

2020 ◽  
Vol 13 (4) ◽  
pp. e233886 ◽  
Author(s):  
Abdullah Al-abcha ◽  
Fazal Raziq ◽  
Shouq Kherallah ◽  
Ahmad Alratroot
Keyword(s):  
Pleural Effusion ◽  
Pleural Fluid ◽  
Symptomatic Improvement ◽  
X Ray ◽  
Fluid Analysis ◽  
Ct Angiogram ◽  
History Of ◽  
Chest X Ray ◽  
Eosinophilic Pleural Effusion

A 45-year-old woman with a medical history of ulcerative colitis (UC) presented with difficulty in breathing. The patient was diagnosed with UC a month prior to presentation and was started on mesalamine suppository. Chest x-ray (CXR) on presentation showed bilateral pleural effusion, which was confirmed on CT angiogram of the chest. Diagnostic and therapeutic thoracentesis was performed and 0.7 L of pleural fluid was removed from the left side. The pleural fluid analysis was consistent with exudative pleural effusion with eosinophilia. Symptomatic improvement was noted after thoracentesis. Mesalamine was stopped and repeat CXR was obtained on the follow-up visit, which showed no pleural effusion. The Naranjo score was calculated to be 7, indicating that the eosinophilic pleural effusion was most probably secondary to adverse reaction from mesalamine.

scholarly journals SARS-Cov-2 Infection (COVID-19) Revealed by Persistent Hiccups: Case Report

2020 ◽  
Vol 2020 ◽  
Author(s):  
Abdelilah Tebay ◽  
Oussama Lakhdar ◽  
Nouha Tebay
Keyword(s):  
Nasal Swab ◽  
Rt Pcr ◽  
X Ray ◽  
Inspiratory Muscles ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Typical Picture ◽  
Chest Ct Scan ◽  
Frosted Glass

Hiccups are a ventilatory mechanism involuntarily involving the inspiratory muscles and the glottis, Its physiological interest has not been demonstrated until today. Acute or chronic hiccups have a wide variety of etiologies. We report the case of a 50-year-old patient with a history of iterative sinusitis, who consulted a gastroenterologist for persistent hiccups. The patient's clinical examination was normal. Chest x-ray showing an abnormal mediastinal image leads to a chest CT scan showing a typical picture of COVID-19 virus infection: bilateral and peripheral frosted glass opacities. A nasal swab RT-PCR test confirmed the diagnosis. Admitted to an isolation unit, the patient received treatment with clinical and biological monitoring. The hiccups disappeared around the 3rd day of hospitalization, the negativation of the RT-PCR occurring after 14 days with a favorable evolution of the symptoms. To our knowledge, this is the 2nd global case of persistent hiccups that has revealed infection with the COVID-19 virus.

scholarly journals A case of secondary tension pneumothorax in COVID-19 pneumonia in a patient with no prior history of lung disease

2020 ◽  
Vol 8 ◽  
pp. 2050313X2096750
Author(s):  
Kwesi Amoah ◽  
Kulothungan Gunasekaran ◽  
Mandeep Singh Rahi ◽  
Michael G Buscher
Keyword(s):  
Lung Disease ◽  
Tension Pneumothorax ◽  
Kidney Injury ◽  
Sudden Onset ◽  
Prior History ◽  
Unusual Complication ◽  
Mediastinal Shift ◽  
Life Threatening ◽  
History Of ◽  
Chest X Ray

Complications that arise in patients with severe COVID-19 pneumonia are acute respiratory distress syndrome, often leading to mechanical ventilation, shock requiring vasopressors, acute kidney injury, stroke, thromboembolic phenomena, and myocardial injury. To date, there are four cases of tension pneumothorax in patients with COVID-19, published in literature. We present a 33-year-old man with no prior history of lung disease who was admitted to our hospital on account of hypoxic respiratory failure secondary to COVID-19 pneumonia. During his hospitalization, he developed sudden onset of chest pain which worsened with coughing. A chest X-ray showed a right-sided pneumothorax with left-sided mediastinal shift. He required placement of chest tubes with eventual resolution of the pneumothorax several days later. This case highlights the need for clinical recognition, consideration of differential diagnoses, prompt evaluation, appropriate imaging, and management of this severe life-threatening unusual complication of COVID-19 pneumonia.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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