scholarly journals Severe re-expansion pulmonary edema despite incomplete re-expansion of the lung: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Alicja Zabielna
Keyword(s):  
Case Report ◽  
Pulmonary Edema ◽  
Sudden Onset ◽  
British Thoracic Society ◽  
Chest Drain ◽  
Medical Procedure ◽  
Case Presentation ◽  
High Flow Oxygen ◽  
Chest X Ray ◽  
Rapid Removal

Abstract Background Re-expansion pulmonary edema is a rare but potentially fatal (mortality up to 20%) complication of the rapid removal of air, fluid, or other space-occupying lesion from the pleural cavity. This case report highlights the fact that this complication is much more likely to occur when treating large, chronic pneumothoraces, and can occur even if the lung fails to fully re-expand. Case presentation A 49-year-old white British man presented to the emergency department with sudden onset of shortness of breath 5 days prior to admission. A left-sided pneumothorax was suspected on clinical examination, and chest X-ray confirmed a large, left-sided pneumothorax. A 12 French gauge chest drain was inserted and connected to an underwater seal. Shortly after insertion of the drain, the patient’s condition deteriorated rapidly with tachypnea and severe hypoxemia. A diagnosis of re-expansion pulmonary edema was made, and the patient was treated with high-flow oxygen and continuous positive airways pressure. Conclusions This case report serves as a reminder of the morbidity and potential mortality associated with a commonly performed medical procedure, and reveals a lack of clear and precise guidance on the management of large, chronic (> 72 hours) pneumothoraces in the current British Thoracic Society pleural disease guidelines.

scholarly journals Sudden cardiac death due to angiofibroma: a case report

2021 ◽  
Author(s):  
Duncan Mwangangi Matheka ◽  
Edwin Walong ◽  
Christine Yuko Jowi
Keyword(s):  
Case Report ◽  
Cardiac Death ◽  
Surgical Intervention ◽  
Symptomatic Treatment ◽  
Post Mortem ◽  
Case Presentation ◽  
X Ray ◽  
Prevention And Treatment ◽  
Pediatric Neoplasms ◽  
Chest X Ray

Abstract BackgroundAngiofibromas are benign but locally aggressive vascular tumours that commonly occur in the nasopharynx, neck and face. Angiofibromas located in sites other than head and neck regions are rare. We report a massive interventricular tumour in a 5-month-old who died suddenly.Case presentationWe present a 5-month-old who died suddenly due to a massive rare cardiac tumour. A post mortem carried out diagnosed it as angiofibroma on histopathology. At three months of age, he had a persisting cough for a week, with associated occasional wheezing and dyspnea that stopped after symptomatic treatment. A chest x-ray revealed a mild cardiomegaly. Serial echocardiograms showed a well circumscribed, homogenous, highly vascularized mass filling the left ventricle. Surgical intervention was planned.Conclusions: Cardiac angiofibromas are rare pediatric neoplasms and as seen in this report, invariably fatal. More insights into their pathogenesis, prevention and treatment are required.

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 All that glitters is not gold: A case of lanthanum carbonate aspiration

2017 ◽  
Vol 5 ◽  
pp. 2050313X1771264 ◽  
Author(s):  
Suchitra Paranji ◽  
Neethi Paranji ◽  
Adam S Weltz
Keyword(s):  
Foreign Body ◽  
Sudden Onset ◽  
Lanthanum Carbonate ◽  
Aerodigestive Tract ◽  
Phosphate Binding ◽  
Case Presentation ◽  
Chest X Ray ◽  
Stage Renal Disease ◽  
End Stage

Introduction: Foreign body aspiration is a significant cause of morbidity and mortality in elderly hospitalized patients. These are typically small items that patients have access to, including small coins. Case presentation: This is a case report of a 75-year-old man recently bedridden from a large hemispheric stroke with sudden onset of hoarseness, cough and dysphagia. A chest X-ray was obtained which showed a radiopaque coin-shaped foreign body, presumably a coin in his aerodigestive tract. He was promptly taken to the endoscopy suite for upper endoscopy. During endoscopy, it was determined that the foreign body was a radiopaque medication that he had been given. It was easily and safely able to be crushed and lavaged down into his stomach and later determined to be lanthanum carbonate, a commonly used phosphate binder. Following endoscopy, the patient’s cough, hoarseness and dysphagia resolved with no long-term complications. Discussion: Lanthanum carbonate is a phosphate-binding medication used in the management and treatment of hyperphosphatemia commonly seen in patients with end-stage renal disease, which is radiopaque. There are few published reports and images of radiopaque fragments of medication in the gastrointestinal tract but none causing aspiration by masquerading as a coin-like density in the aerodigestive tract as we present here.

scholarly journals Asymmetric pulmonary edema after scorpion sting: a case report

2008 ◽  
Vol 50 (6) ◽  
pp. 347-350 ◽  
Author(s):  
Ebrahim Razi ◽  
Elaheh Malekanrad
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Pulmonary Edema ◽  
Good Condition ◽  
Clinical Manifestations ◽  
Scorpion Sting ◽  
Scorpion Envenomation ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

A 12-year-old boy was referred with acute asymmetric pulmonary edema (APE) four-hour after scorpion sting to Emergency department. On admission, the main clinical manifestations were: dyspnea, tachypnea, and tachycardia. Chest x-ray revealed APE predominantly on the right hemithorax. The patient was treated with oxygen, intravenous frusemide and digoxin and discharged on the sixth hospital day in a good condition. This case report emphasizes the occurrence of asymmetric pulmonary edema after severe scorpion envenomation within few hours immediately after the sting.

Topiramate-Induced Chest Pain: A Case Report

2018 ◽  
Vol 32 (2) ◽  
pp. 236-239 ◽  
Author(s):  
Jared L. Ostroff ◽  
Jessica N. LeClair (Barnet) ◽  
Marissa L. Ostroff ◽  
Corey S. Laskey
Keyword(s):  
Adverse Effect ◽  
Case Report ◽  
Chest Pain ◽  
Probability Scale ◽  
Case Presentation ◽  
X Ray ◽  
Chest X Ray ◽  
Basic Metabolic Panel ◽  
Complete Blood Counts ◽  
Electrocardiogram Ecg

Background: Topiramate, an anticonvulsant used for prophylaxis of migraines and epilepsy, is commonly associated with adverse effects of cognitive dulling and fatigue. Chest pain is a potential adverse effect that to our knowledge has not been reported with the use of topiramate. Case Presentation: We present the case of a 38-year-old female with a seizure disorder who experienced chest pain after the first dose of topiramate. On day 1, she presented to the emergency department, was admitted, and over the course of 3 days had a chest X-ray, electrocardiogram (ECG), and echocardiogram, and her vitals, basic metabolic panel, complete blood counts, troponin, and d-dimer levels were monitored. The chest pain improved when the topiramate was held. No identifiable causes of chest pain were apparent, other than the topiramate. Discussion: The Naranjo probability scale was utilized to determine the causality of topiramate. The resulting score of 3 indicates that it is possible that the chest pain was due to the topiramate. Conclusion: This report demonstrates an example of a patient who experienced chest pain possibly caused by the initiation of topiramate. The objective of this case report is to increase the awareness of chest pain as an adverse effect of topiramate.

scholarly journals Immersion Pulmonary Edema in the setting of Takotsubo Cardiomyopathy

2016 ◽  
Vol 5 ◽  
Author(s):  
Tara Mireille Reed
Keyword(s):  
Pulmonary Edema ◽  
Cardiac Catheterization ◽  
Takotsubo Cardiomyopathy ◽  
Medical Condition ◽  
Scuba Diving ◽  
Sudden Onset ◽  
Wave Inversion ◽  
Chest X Ray ◽  
Wall Motion Abnormalities ◽  
Epicardial Stenosis

<p>Immersion Pulmonary Edema (IPE) is a unique medical condition being increasingly described in the medical literature as sudden-onset pulmonary edema in the setting of scuba diving and/or swimming. We report on three patients with unique presentations of IPE with associated development of Takotsubo cardiomyopathy (TTC). All three cases occurred in Oahu, Hawaii and were seen by the same cardiologist within a span of seven years. Each patient was scuba diving with sudden onset dyspnea with pulmonary edema on chest x-ray. Cardiac catheterization revealed no significant epicardial stenosis or thrombosis. EKGs showed typical evolution of symmetric T wave inversion. Wall motion abnormalities resolved.  IPE and TTC may occur together and may be more common than initially thought. Physical and emotional stressors are known to trigger TTC. TTC should be considered as a possible complication of IPE. Initial workup should include EKGs, cardiac enzymes, echocardiogram and, in the appropriate situation, cardiac catheterization. </p>

Intravenous Ethchlorvynol-Induced Pulmonary Edema

1979 ◽  
Vol 13 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Timothy H. Self ◽  
Francis F. Fountain ◽  
Robert Dunnebacke ◽  
Michael Pipkin ◽  
Herb Patterson
Keyword(s):  
Case Report ◽  
Adverse Effects ◽  
Pulmonary Edema ◽  
Respiratory Symptoms ◽  
Low Dose ◽  
X Ray ◽  
Pulmonary Infiltrates ◽  
Chest X Ray ◽  
Pertinent Feature

A case report of intravenous ethchlorvynol-induced pulmonary edema is presented. Approximately 450 mg of ethchlorvynol was withdrawn from a Placidyl® capsule and injected by a 30-year-old man. Respiratory symptoms occurred within twenty minutes and a chest X-ray taken within two hours revealed diffuse bilateral pulmonary infiltrates. The patient's condition improved rapidly. A pertinent feature of the case is the comparatively low dose of ethchlorvynol which caused pulmonary edema. It is also of note that two colleagues of the patient did not have evidence of any adverse effects after injecting approximately 180 mg of ethchlorvynol.

scholarly journals Tension Pneumothorax After Emergency Intubation: a Case Report and Review of the Literature

2021 ◽  
Author(s):  
Zhong-hua Zhang ◽  
Zhi-yang Yu ◽  
Yang Liu ◽  
Cong Liu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Tension Pneumothorax ◽  
Review Of The Literature ◽  
Case Presentation ◽  
X Ray ◽  
Emergency Airway ◽  
The Past ◽  
Chest X Ray

Abstract Introduction:Tension pneumothorax during the emergency airway is a rare but deleterious event, which may cause severe cardiorespiratory collapse, leading to brain damage or even death.Case presentation: A 34-year-old male patient was admitted with sudden chest pain. He was diagnosed with acute myocardial infarction and his chest X‑ray did not show pneumothorax. The patient after intubation presents emergent complications and was gave treatment.Discussion and Conclusions: Tension pneumothorax in tracheal intubation of emergency is a more rare but deleterious event, especially when predisposing factors cannot be known in view of acute profound hypoxemia. We collect several rare cases of tension pneumothorax of different etiology and drawing lessons from the past.

scholarly journals Tension Viscerothorax in a Patient with Missed Traumatic Diaphragmatic Hernia. A Case Report.

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Herbert Butana ◽  
Ntawunga Laurance ◽  
Desire Rubanguka ◽  
Isaie Sibomana
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Diaphragmatic Hernia ◽  
Rare Case ◽  
Case Presentation ◽  
X Ray ◽  
Traumatic Diaphragmatic Hernia ◽  
Provincial Hospital ◽  
Chest X Ray ◽  
Diaphragmatic Hernias

Background: Diaphragmatic hernias occurring post trauma are a challenge to diagnose early especially when they follow blunt trauma. Many of those diagnosed early occur in penetrating thoraco-abdominal trauma which necessitates emergency exploration where the diagnosis is picked. Rarity of traumatic diaphragmatic hernia coupled with poor sensitivity of easily available imaging modalities makes it a big challenge to pick up this potentially fatal pathology. Case presentation: We present a rare case of tension viscerothorax in a young man who had presented to the emergency department at a provincial hospital of Rwanda three days before the second consultation where the chest x-ray was interpreted as normal and later as a pneumothorax before the diagnosis and treatment of tension viscerothorax could be made. Conclusion: Viscerothorax is an elusive diagnosis which when missed can complicate to strangulation of hernia contents or tension viscerothorax which carry a high mortality.

Acute pulmonary edema as the initial presentation of a pheochromocytoma: case report

2013 ◽  
Author(s):  
Eduarda Resende ◽  
Maritza Sa ◽  
Margarida Ferreira ◽  
Silvestre Abreu
Keyword(s):  
Case Report ◽  
Pulmonary Edema ◽  
Initial Presentation ◽  
Acute Pulmonary Edema
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