Enhancing vigilance for cerebral air embolism after pneumonectomy: a case report

Abstract Background Vascular air embolism (VAE) is a rare but important complication that has not been paid enough attention to in the medical process such as surgery and anesthesia. Case presentation We report for the first time that a 54-year-old male patient with central lung cancer developed severe complications of CAE after right pneumonectomy. After targeted first-aid measures such as assisted breathing, mannitol dehydration and antibiotic treatment, the patient gradually improved. The patient became conscious at discharge after 25 days of treatment but left limb was left with nerve injury symptoms. Conclusion We analyzed the possible causes of CAE in this case, and the findings from this report would be highly useful as a reference to clinicians.

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Cerebral Air Embolism After Pigtail Catheter Drainage for Pneumothorax: A Case Report and Review of the Literature

Frontiers in Surgery ◽

10.3389/fsurg.2021.743051 ◽

2021 ◽

Vol 8 ◽

Author(s):

Yi Chen ◽

Chunhui Zheng ◽

Qinghui Zeng ◽

Fangbiao Zhang ◽

Shaosong Tu ◽

...

Keyword(s):

Case Report ◽

Lower Lobe ◽

Air Embolism ◽

Occipital Lobe ◽

Pigtail Catheter ◽

Catheter Drainage ◽

Cerebral Air Embolism ◽

Limb Stiffness ◽

Left Limb ◽

The Right

Objective: Cerebral air embolism (CAE) is an extremely rare but serious complication of pigtail catheter drainage. The aim of the case report is to review our experience in the diagnosis and treatment for CAE after pigtail catheter drainage.Case presentation: In our study, we report a case of CAE following pigtail catheter insertion for pneumothorax. A 50-year-old man was diagnosed with a pulmonary mass in the right lower lobe. He underwent a right lower lobectomy. Pneumothorax was present after the removal of the chest tube. Pigtail catheter drainage was used in order to treat the pneumothorax, which resulted in convulsions, limb stiffness, and unconsciousness. A brain CT scan was immediately performed and showed multiple low densities in the right occipital lobe, which was diagnosed as CAE. Assisted breathing, antibiotic treatment, and antiepileptic therapy were used and the patient gradually improved and was discharged at 27 days of treatment but the muscle strength of the left limb was weakened.Conclusion: We analyzed and summarized the possible causes of CAE in the literature, and the findings of the case could enhance the vigilance of clinicians.

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Myiasis Absent Wohlfahrtiimonas Chitiniclastica Bacteremia in a Lung Cancer Patient – A Case Report

10.21203/rs.3.rs-410141/v1 ◽

2021 ◽

Author(s):

Peter Dovjak ◽

Michael Kroissenbrunner ◽

Bernhard Iglseder

Keyword(s):

Lung Cancer ◽

Case Report ◽

Cancer Patient ◽

Lung Cancer Patient ◽

Chronic Wounds ◽

Lung Tumor ◽

Personal Hygiene ◽

Human Pathogen ◽

Case Presentation ◽

First Case

Abstract Background: A gruesome infection was found in a woman with advanced lung tumor and associated malnutrition. Worldwide, bacteremia with Wohlfartiimonas chitiniclastica was only found in 13 cases yet.Case presentation: This is the first case in Austria and the first case without infestation of maggots.Conclusions: This germ may be considered as an emerging human pathogen not only in patients with poor personal hygiene, difficult social circumstances, alcohol dependence or chronic wounds.AbstraktEine grauenhafte Infektion wurde bei einer Patientin mit fortgeschrittenem Lungentumor und Malnutrition gefunden. Bisher wurden weltweit erst 13 Fälle mit einer Wohlfahrtiimonas chitiniclastica - Bakteriämie beschrieben. Dieser erste Fall in Österreich manifestierte sich ohne eine Infestation mit Maden. Dieses Bakterium kann als neuer Krankheitserreger betrachtet werden, der nicht nur bei Patienten unter mangelnder Hygienebedingungen, schwierigen sozialen Verhältnissen, Alkoholabhängigkeit oder chronischen Wunden auftreten kann.

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Cerebral Air Embolism in a Patient with a Tuberculous-Destroyed Lung during Commercial Air Travel: A Case Report

Journal of the Korean Society of Radiology ◽

10.3348/jksr.2011.65.2.109 ◽

2011 ◽

Vol 65 (2) ◽

pp. 109 ◽

Cited By ~ 1

Author(s):

Hyun Seok Jung ◽

Hae Woong Jeong ◽

Hyun Sin In

Keyword(s):

Case Report ◽

Air Embolism ◽

Air Travel ◽

Cerebral Air Embolism ◽

Destroyed Lung

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Case Report: COVID-19 Pneumonia Following Left Pneumonectomy for Lung Cancer Complicated by Empyema and Bronchopleural Fistula

Frontiers in Surgery ◽

10.3389/fsurg.2021.679757 ◽

2021 ◽

Vol 8 ◽

Author(s):

Alberto Testori ◽

Veronica M. Giudici ◽

Marco Alloisio ◽

Ugo Cioffi

Keyword(s):

Lung Cancer ◽

Case Report ◽

Critically Ill ◽

Critically Ill Patients ◽

Statistical Data ◽

Pulmonary Thromboembolism ◽

Bronchopleural Fistula ◽

Case Presentation ◽

Arterial Thromboembolism ◽

Left Pneumonectomy

Background: Venous and arterial thromboembolism is commonly reported in critically ill COVID-19 patients, although there are still no definitive statistical data regarding its incidence.Case presentation: we report a case of a patient who fell ill with Covid during hospitalization for a pneumonectomy complicated by empyema and bronchopleural fistula. The patient, despite being cured of COVID, died after 14 days for pulmonary thromboembolism.Conclusion: Our case strengthens the suggestion of adequate thromboprophylaxis in all hospitalized COVID patients and of increasing prophylaxis in critically ill patients even in the absence of randomized studies

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Cerebral Air Embolism Associated with Lung Cancer

Internal Medicine ◽

10.2169/internalmedicine.50.6072 ◽

2011 ◽

Vol 50 (20) ◽

pp. 2439-2439 ◽

Cited By ~ 4

Author(s):

Kanako Otomune ◽

Shiro Yamamoto ◽

Nobuo Kohara

Keyword(s):

Lung Cancer ◽

Air Embolism ◽

Cerebral Air Embolism

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Cytological Features of a Variant NUT Midline Carcinoma of the Lung Harboring theNSD3-NUTFusion Gene: A Case Report and Literature Review

Case Reports in Pathology ◽

10.1155/2015/572951 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Shiho Kuroda ◽

Shioto Suzuki ◽

Akira Kurita ◽

Mari Muraki ◽

Yoichiro Aoshima ◽

...

Keyword(s):

Case Report ◽

Nuclear Protein ◽

Lung Tumor ◽

Nut Midline Carcinoma ◽

Case Presentation ◽

First Case ◽

Cytological Features ◽

Pearl Formation ◽

Mitotic Figures ◽

First Time

Background. Nuclear protein in testis (NUT) midline carcinoma (NMC) is a very rare and aggressive malignancy. In more than two-thirds of these NMC cases, a fusion betweenNUTandBRD4orBRD3has been documented; other variants are rare. The cytology of NMC itself has been sparsely documented and that of variant NMC has never been reported.Case Presentation. A 36-year-old woman was admitted because of a rapidly progressing lung tumor with metastases to the breast and bone. We recently reported this patient as the first case of a variant NMC of the lung harboring anNSD3-NUTfusion, based on immunohistochemical and genetic analyses. Cytological material was available for the present review. A highly cellular smear contained a predominantly noncohesive pattern of monomorphic cells with diameters 2–2.5 times greater than those of small lymphocytes, with a round-to-oval nucleus, slightly irregular nuclear contours, variably prominent nucleoli, scant cytoplasm, and identifiable mitotic figures. Foci of stratification and overt pearl formation, including a dyskeratocyte, were occasionally observed. The necrotic background contained naked nuclei, karyorrhectic debris, apoptotic cells, and macrophages phagocytizing karyorrhectic debris; nuclear crushing was noted.Conclusion. The cytological features of a variant NMC of the lung are described for the first time.

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