scholarly journals Giant Intrapericardial bronchogenic cyst associated with congestive heart failure and atrial fibrillation: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Javier Maldonado Escalante ◽  
German Molina ◽  
Francisco Mauricio Rincón ◽  
Lina M. Acosta Buitrago ◽  
Carlos J. Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Differential Diagnosis ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Case Presentation ◽  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray ◽  
Bronchogenic Cysts

Abstract Background Large intracardiac bronchogenic cysts are rare mediastinal masses. However, they must always be considered in the differential diagnosis of heart failure with abnormal chest X-ray. Case presentation We present a 60-year-old female patient with de novo atrial fibrillation, heart failure and a very large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst. Conclusions Large bronchogenic cysts located intrapericardially are very rare. However, they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure with abnormal radiologic studies.

scholarly journals Giant Intrapericardial Bronchogenic Cyst Associated with Congestive Heart Failure and Atrial Fibrillation:  A Case Report

2020 ◽  
Author(s):  
Javier Maldonado ◽  
German Molina ◽  
Francisco M- Rincón T ◽  
Lina M. Acosta Buitrago ◽  
Carlos J- Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Pathological Findings ◽  
Case Presentation ◽  
Bronchogenic Cysts

Abstract Background: Large intracardiac bronchogenic cysts are rare mediastinal masses, however they must always be considered in the differential diagnosis of heart failure. Case Presentation: We present a 60-year-old female patient with de novo atrial fibrillation and heart failure, resulting from an incidental large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst.Conclusions: Large bronchogenic cysts located intrapericardially are very rare, however they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure.

PECTUS EXCAVATUM: A CASE REPORT OF AN EARLY REPAIR

2021 ◽  
pp. 51-52
Author(s):  
Priyadarshan Konar ◽  
Subhendu Mahapatra ◽  
Jayita Chakrabarti ◽  
Gautam Sengupta
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Anterior Chest Wall ◽  
Chest Wall Deformity ◽  
Case Presentation ◽  
X Ray ◽  
Abnormal Chest ◽  
Great Vessels ◽  
Chest X Ray

Introduction: Pectus Excavatum usually recognized during infancy and become worse with growing ages. Case presentation: We presented a 6 months old male child to our departmental OPD with complaints of indrawing of anterior chest wall. On physical examination revealed a signicant Pectus Excavatum deformity. There was no other abnormality except the chest wall deformity. An abnormal chest X-ray and CT scan demonstrated leftward displacement of heart and great vessels. Conclusion: Surgery for Pectus Excavatum is specialized and can be done in early childhood with better outcome.

scholarly journals Pericardial effusion can be a critical complication after laparoscopic hernia repair using mesh and stapler for Morgagni hernia

2017 ◽  
Author(s):  
Ryohei Watanabe ◽  
Natsuya Katada ◽  
Yoichi Nakamura ◽  
Tadashi Higuchi ◽  
Ayako Otsuji ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pericardial Effusion ◽  
Hernia Repair ◽  
Laparoscopic Hernia Repair ◽  
Morgagni Hernia ◽  
Case Presentation ◽  
X Ray ◽  
Pericardial Drainage ◽  
Chest X Ray ◽  
Routine Chest

Abstract Introduction: Several cases of Morgagni hernia have recently been treated with laparoscopic mesh repair, which is reported to have fewer complications and to be less invasive. Here we describe a case of a laparoscopic Morgagni hernia repair treated with mesh that progressed to heart failure due to pericardial effusion 2 months after hospital discharge. Case Presentation: A 78-year-old woman was incidentally found to have a Morgagni hernia during a routine chest X-ray. The laparoscopic Morgagni hernia repair was performed using Composix mesh○R and an ENDOPATH○R EMS Stapler. The Composix mesh○R was gently attached to the surface of the diaphragm using the ENDOPATH○R EMS Stapler. She was discharged from the hospital on the 7th postoperative day without any adverse events. However, 2 months later, she developed dyspnea due to heart failure secondary to a pericardial effusion. Pericardial drainage was performed during her hospitalization, and she was discharged 7 days later. No recurrence of either the pericardial effusion or the Morgagni hernia has been detected since the pericardial drainage Conclusion: Clinicians may need to be aware of the risk of pericardial effusion in these cases, even if there has been no damage to the diaphragm or epicardium.

scholarly journals MENGATASI FIBRILASI ATRIUM RAPID RESPONSE DENGAN BISOPROLOL

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Franky A. Tumiwa ◽  
Reginald L. Lefrandt
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Hypertensive Heart Disease ◽  
Rapid Response ◽  
Lung Edema ◽  
Key Words Atrial Fibrillation ◽  
Normal Response ◽  
Once Daily ◽  
X Ray ◽  
Chest X Ray

Abstract: We reported a 77-year old female, admitted to the Prof dr RD Kandou General Hospital due to dyspnea. Physical examination revealed hypertension, rales and wheezing in both lungs, heart enlargement, and an auscultation heart rate of 140 beats per minute. ECG showed a rapid response atrial fibrillation. Besides that, chest X ray examination showed cardiomegaly with CTR>50%. A working diagnosis revealed lung edema (pneumonia as a differential diagnosis),  and functional heart failure class II-III due to hypertensive heart disease, associated with a rapid response atrial fibrillation. Bisoprolol 5 mg once daily was given immediately along with oxygen, a NaCL 0.9% infusion, and furosemide 40 mg intravenously. In addition to this, was added ceftriaxon 1g twice daily, captopril 6.25 mg three times daily, furosemide 40mg, thiazide 25 mg, and aspirin 80 mg once daily, coenzyme Q10 100 mg twice daily, and trimetazidine 35 mg two tablets daily. The ECG result after approximately 10 hours  was a normal respone atrial fibrillation. The patient left the hospital at the fifth day with the same ECG result. Key words: atrial fibrillation, bisoprolol, congestive heart failure. Abstrak: Telah dilaporkan seorang perempuan berusia 77 tahun, dirawat di RSU Prof dr RD Kandou dengan keluhan sesak napas. Pada pemeriksaan fisik ditemukan hipertensi, adanya ronki dan wheezing, pada perkusi pembesaran jantung, auskultasi frekuensi denyut jantung 140 kali per menit. EKG memperlihatkan fibrilasi atrium rapid response. Selain itu pada foto dada tampak kardiomegali dengan CTR>50%. Diagnosis kerja adalah suspek pneumonia, gagal jantung kongestif fungsional kelas I-III karena penyakit jantung hipertensi, disertai fibrilasi atrium rapid response. Pemberian bisoprolol 5 mg sekali sehari telah dimulai sejak saat masuk, disertai pemberian oksigen, infus cairan Nacl 0,9%, dan furosemid 40 mg intra venous. Kemudian ditambahkan ceftriaxon 1g dua kali sehari, captopril 6,25 mg tiga kali sehari, tiazid 25 mg sekali sehari, furosemid 40 mg sekali sehari, coenzim Q10 100 mg dua kali sehari, trimetazidine 35 mg dua tablet sehari, dan aspirin 80 mg sekali per hari. Pada hari kedua EKG telah memperlihatkan gambaran fibrilasi atrium normal response. Pasien dipulangkan pada hari ke lima dengan diagnosis gagal jantung kongestif fungsional I-II karena penyakit jantung hipertensi, hipertensi terkontrol, dan fibrilasi atrium normal response. Kata kunci: fibrilasi atrium, bisoprolol, gagal jantung kongestif.

scholarly journals Bronchogenic Cyst

2014 ◽  
Vol 1 (2) ◽  
pp. 106-110
Author(s):  
Mirza Kamrul Zahid ◽  
Anwarul Anam Kibria ◽  
AKM Razzaque ◽  
Md. Shamsul Alam ◽  
Shahinur Rahman ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Bronchogenic Cyst ◽  
Lateral View ◽  
Common Symptom ◽  
Diagnostic Purpose ◽  
X Ray ◽  
Chest X Ray ◽  
Age Range ◽  
Bronchogenic Cysts ◽  
Surgical Unit

Introduction: Bronchogenic cysts are congenital anomalies caused by abnormal bronchial development from the primitive ventral foregut, which arises from cells isolated from the main pulmonary branching when lung bud separates from the primitive gut.Materials & Methods: We reviewed all pediatric patients with bronchogenic cyst who underwent surgery in our thoracic surgical unit- III during 2007-2009. They comprised 1 male and 5 female patients, with an age range of 2 to 17 years (mean age 5.66 years).Results: Symptoms were present in 5 patients (83%), cough was the most common symptom. Other symptoms included purulent sputum, chest pain, fever, dyspnea, anorexia and/or weight loss, and haemoptysis. All patients underwent chest x-ray posteroanterior and lateral view and CT scan of chest for diagnostic purpose. Two of the cysts were mediastinal and rests were intraparenchymal. Surgery performed were resection (2), lobectomy (4). Complications of bronchogenic cysts occurred in 4 patients (67%). In 1 patient (Patient 2), a ruptured, infected, parenchymal bronchogenic cyst caused pleuritis and empyemaThere was no operative deaths & no in-hospital mortality.Conclusions: We conclude that one should go for surgical resection of all suspected bronchogenic cysts in operable candidates.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19524

scholarly journals A case of pleuroperitoneal communication in which establishing a laparoscopic pneumoperitoneum was useful for the detection of a fistula

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takehiko Manabe ◽  
Kenji Ono ◽  
Soichi Oka ◽  
Yuichiro Kawamura ◽  
Toshihiro Osaki
Keyword(s):  
Thoracic Surgery ◽  
Surgical Repair ◽  
Abdominal Cavity ◽  
Case Presentation ◽  
X Ray ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Pleuroperitoneal Communication ◽  
Small Pore ◽  
Chest X Ray

Abstract Background Pleuroperitoneal communication (PPC) is rarely observed, accounting for 1.6% of all patients who undergo continuous ambulatory peritoneal dialysis (CAPD). Although there have been several reports concerning the management of this condition, we have encountered several cases in which control failed. We herein report a valuable case of PPC in which laparoscopic pneumoperitoneum with video-assisted thoracic surgery (VATS) was useful for supporting the diagnosis and treatment. Case presentation The patient was a 58-year-old woman with chronic renal failure due to chronic renal inflammation who was referred to a nephrologist in our hospital to undergo an operation for the induction of CAPD. Post-operatively, she had respiratory failure, and chest X-ray and computed tomography (CT) showed right-sided hydrothorax that decreased when the injection of peritoneal dialysate was interrupted. Therefore, PPC was suspected, and she was referred to our department for surgical repair. We planned surgical treatment via video-assisted thoracic surgery. During the surgery, we failed to detect any lesions with thoracoscopy alone; we therefore added a laparoscopic port at her right-sided abdomen near the navel and infused CO2 gas into the abdominal cavity. On thoracoscopy, bubbles were observed emanating from a small pore at the central tendon of the diaphragm, which was considered to be the lesion responsible for the PPC. We closed it by suturing directly. Conclusions VATS with laparoscopic pneumoperitoneum should be considered as an effective method for inspecting tiny pores of the diaphragm, especially when the lesions responsible for PPC are difficult to detect.

Amiodarone – induced pulmonary nodules mimiking metastatic lung disease – investigation by somatostatin radio peptide scaning

2005 ◽  
Vol 4 (2) ◽  
pp. 63-65
Author(s):  
Veronica Varney ◽  
◽  
Mary Warren ◽  
M Palmer ◽  
◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Pulmonary Nodules ◽  
Alcoholic Cardiomyopathy ◽  
X Ray ◽  
The Past ◽  
Previous Diagnosis ◽  
Metastatic Lung ◽  
Chest X Ray ◽  
200Mg Daily

A 61 year old former paramedic presented to A&E complaining of palpitations. He was found to be in atrial fibrillation, which reverted spontaneously to sinus rhythm. A chest x-ray taken at that time showed multiple pulmonary nodules consistent with metastatic malignancy (Figure 1). In the past he had been treated with amiodarone 200mg daily for 6 years following a previous diagnosis of atrial fibrillation, which had been attributed to alcoholic cardiomyopathy. He had discontinued the drug 8 months earlier, after selfdiagnosing hypotension and bradycardia. A previous chest X-ray, taken before starting amiodarone, was normal.

scholarly journals Abnormal chest X-ray in a patient with carcinoma of the cervix.

1997 ◽  
Vol 73 (864) ◽  
pp. 671-673
Author(s):  
P. Aggarwal ◽  
R. Handa ◽  
J. P. Wali ◽  
N. Wig ◽  
A. Kumar
Keyword(s):  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray

Portable Ventilation/Perfusion Scanning is Useful for Evaluating Clinically Significant Pulmonary Embolism in the ICU Despite Abnormal Chest Radiography

2018 ◽  
Vol 35 (10) ◽  
pp. 1032-1038 ◽  
Author(s):  
Aaron S. Weinberg ◽  
William Chang ◽  
Grace Ih ◽  
Alan Waxman ◽  
Victor F. Tapson
Keyword(s):  
Pulmonary Embolism ◽  
Chest Radiograph ◽  
High Probability ◽  
Hemodynamic Instability ◽  
X Rays ◽  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray ◽  
Low Probability ◽  
Clinically Significant

Objective: Computed tomography angiography is limited in the intensive care unit (ICU) due to renal insufficiency, hemodynamic instability, and difficulty transporting unstable patients. A portable ventilation/perfusion (V/Q) scan can be used. However, it is commonly believed that an abnormal chest radiograph can result in a nondiagnostic scan. In this retrospective study, we demonstrate that portable V/Q scans can be helpful in ruling in or out clinically significant pulmonary embolism (PE) despite an abnormal chest x-ray in the ICU. Design: Two physicians conducted chart reviews and original V/Q reports. A staff radiologist, with 40 years of experience, rated chest x-ray abnormalities using predetermined criteria. Setting: The study was conducted in the ICU. Patients: The first 100 consecutive patients with suspected PE who underwent a portable V/Q scan. Interventions: Those with a portable V/Q scan. Results: A normal baseline chest radiograph was found in only 6% of patients. Fifty-three percent had moderate, 24% had severe, and 10% had very-severe radiographic abnormalities. Despite the abnormal x-rays, 88% of the V/Q scans were low probability for a PE despite an average abnormal radiograph rating of moderate. A high-probability V/Q for PE was diagnosed in 3% of the population despite chest x-ray ratings of moderate to severe. Six patients had their empiric anticoagulation discontinued after obtaining the results of the V/Q scan, and no anticoagulation was started for PE after a low-probability V/Q scan. Conclusion: Despite the large percentage of moderate-to-severe x-ray abnormalities, PE can still be diagnosed (high-probability scan) in the ICU with a portable V/Q scan. Although low-probability scans do not rule out acute PE, it appeared less likely that any patient with a low-probability V/Q scan had severe hypoxemia or hemodynamic instability due to a significant PE, which was useful to clinicians and allowed them to either stop or not start anticoagulation.

scholarly journals Hoarseness of Voice as a Rare Presentation of Tuberculosis: A Case Report Study

2019 ◽  
Vol 7 (19) ◽  
pp. 3262-3264
Author(s):  
Taher Felemban ◽  
Abdullah Ashi ◽  
Abdullah Sindi ◽  
Mohannad Rajab ◽  
Zuhair Al Jehani
Keyword(s):  
Laryngeal Carcinoma ◽  
Incidental Finding ◽  
Chain Reaction ◽  
Rare Presentation ◽  
Case Presentation ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Polymerase Chain ◽  
Laryngeal Tuberculosis

BACKGROUND: Having hoarseness of voice as the first clinical manifestation of tuberculosis is rare. This atypical presentation causes some confusion since other more common conditions, such as laryngeal carcinoma, present similarly and might require more invasive tests to confirm the diagnosis. CASE PRESENTATION: A 38-year-old male presented to the otorhinolaryngology clinic with a four-month history of change in voice. Laryngoscopy demonstrated a right glottic mass, raising suspicion of laryngeal cancer. The computed tomography showed a mass and incidental finding of opacities in lung apices. Chest x-ray demonstrated findings suggestive of tuberculosis. Polymerase chain reaction and culture of sputum samples confirmed the diagnosis and the patient was started on anti-tuberculosis treatment. CONCLUSION: Despite accounting for only 1% of pulmonary tuberculosis cases and having a similar presentation to laryngeal carcinoma, we recommend considering laryngeal tuberculosis when evaluating hoarseness of voice in endemic areas.

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