Savaiminė vėlai diagnozuota stemplės krūtininės dalies perforacija: klinikinis atvejis

Arūnas Žilinskas, Vygantas Gruslys, Vytautas Jovaišas, Ričardas JanilionisVilniaus universiteto ligoninės Santariškių klinikų Centro filialas, Krūtinės chirurgijos centras,Žygimantų g. 3, VilniusEl paštas: [email protected] Stemplės perforacijos gydymas yra sudėtingas ir diskusinis, nes tokių ligonių yra mažai, jų būklė dažniausiai būna sunki, liga vėlai diagnozuota. Šiame darbe pabandėme panagrinėti 29 metų vyro, operuoto praėjus 14 dienų po savaiminio stemplės plyšimo, ligos eigą. Pagrindiniai žodžiai: stemplės perforacija Spontaneous esophageal perforation: case report Arūnas Žilinskas, Vygantas Gruslys, Vytautas Jovaišas, Ričardas JanilionisVilnius University Hospital, Department of General Thoracic Surgery,Žygimantų str. 3, Vilnius, LithuaniaE-mail: [email protected] The treatment of esophageal perforation is difficult and controversial because of small amount of cases. Usually patients condition is bad and proper diagnosis is delayed. We present our experience with 29 year old male, who was operated 14 days after spontaneous esophageal perforation, case. Keywords: esophageal perforation

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Pharyngo-esophageal Perforation Induced by Dental Implant Ingestion Immediately after Thoracic Surgery via Sternotomy: A Case Report

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.70.278 ◽

2019 ◽

Vol 70 (4) ◽

pp. 278-283

Author(s):

Hiroyuki Maeda ◽

Jin Uezato ◽

Takuya Shimabukuro ◽

Hironori Nakayoshi ◽

Yuuki Kayo ◽

...

Keyword(s):

Case Report ◽

Thoracic Surgery ◽

Dental Implant ◽

Esophageal Perforation

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Sistematização da assistência de enfermagem no pós-operatório mediato de cirurgia cardíaca Systematization of nursing care in mediate post-operative of cardiac surgery

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.2016.v8i4.5062-5067 ◽

2016 ◽

Vol 8 (4) ◽

pp. 5062 ◽

Cited By ~ 1

Author(s):

Inaiane Marlisse de Carvalho ◽

Richardson Augusto Rosendo da Silva ◽

Dayana Kelly Soares Ferreira ◽

Ana Raquel Cortês Nelson ◽

Fernando Hiago da Silva Duarte ◽

...

Keyword(s):

Cardiac Surgery ◽

Case Report ◽

Thoracic Surgery ◽

Nursing Care ◽

University Hospital ◽

Nursing Interventions ◽

Icu Admission ◽

Patient Profile ◽

Nursing Diagnosis

ABSTRACT Objective: Raise the nursing diagnosis by NANDA, identify the nursing interventions by NIC, raise the expected by NOC. Methods: Study of quantiitative approach, kind case report. Results: Study was raised from the evaluation of a patient that found in post operative of intermediate cardiac surgery ICU admission of a university hospital. Found eight nursing diagnosis and as such, the strokes as intervention NIC and expected results by NOC. Discussion: Diagnosis patient profile, prepared based on your needs, provides a rationale for determination of nursing interventions. Conclusion: Identification of nursing diagnosis is intended to assist in planning based nursing care and adequate to the needs of each patient effective actions resulting in solving problems.Descriptors: Nursing, Thoracic surgery, Nursing care.RESUMOObjetivo: Levantar os diagnósticos de enfermagem, segundo a NANDA; identificar as intervenções de enfermagem, segundo a NIC; levantar os resultados esperados segundo a NOC. Métodos: Estudo de abordagem quantitativa tipo relato de caso. Resultados: O estudo foi levantado a partir da avaliação de um paciente que se encontrava em pós-operatório mediato de cirurgia cardíaca internado na UTI de um hospital universitário. Foram encontrados oito diagnósticos de enfermagem e a partir destes, traçados as intervenções segundo o NIC e os resultados esperados segundo o NOC. Discussão: O perfil diagnóstico do paciente, elaborado com base em suas necessidades, oferece uma fundamentação para determinação das intervenções de enfermagem. Conclusão: A identificação dos diagnósticos de enfermagem tem o propósito de auxiliar no planejamento dos cuidados de enfermagem fundamentados e adequadas às necessidades de cada paciente, resultando em ações eficazes para a resolução dos problemas. Descritores: Enfermagem, Cirurgia torácica, Cuidados de enfermagem.RESUMENObjetivo: Aumentar el diagnóstico de enfermería por la NANDA; identificar las intervenciones de enfermería de NIC; levantar los esperados por NOC. Métodos: Estudio con abordaje cuantitativo, informe caso. Resultados: El estudio fue levantado de la evaluación de un paciente que se encuentra en post-operatorio de intermedio cirugía cardiaca ingreso en la uci de un hospital universitario. Encontraron ocho diagnóstico de enfermería y, como tal, los golpes al NIC intervención y resultados esperados por NOC. Discusión: El diagnóstico del paciente perfil, preparado en base a sus necesidades, proporciona una base para determinación de las intervenciones de enfermería. Conclusión: Identificación de diagnóstico de enfermería es para ayudar en cuidados de enfermería basada en la planificación y adecuado a las necesidades de cada paciente que resulten acciones efectivas en solución de problemas. Descriptores: Enfermería, Cirugía torácica, La atención de enfermería.

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Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

Dentika Dental Journal ◽

10.32734/dentika.v23i2.4278 ◽

2020 ◽

Vol 23 (2) ◽

pp. 28-33

Author(s):

Indira Apriantika ◽

Agung Krismariono

Keyword(s):

Case Report ◽

Treatment Plan ◽

Patient Treatment ◽

Treatment Results ◽

Dental Hospital ◽

Proper Diagnosis ◽

The Aesthetic ◽

Smile Aesthetics ◽

Crown Lengthening ◽

Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

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A Case Report of Kerion Celsi Caused by Microsporum Canis and Statistical Study of Tinea Capitis at Akita University Hospital.

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.55.92 ◽

1993 ◽

Vol 55 (1) ◽

pp. 92-97 ◽

Cited By ~ 3

Author(s):

Noriko SATO ◽

Okitaka MAIE ◽

Shinya TAKAHASHI

Keyword(s):

Case Report ◽

Tinea Capitis ◽

Statistical Study ◽

University Hospital ◽

Microsporum Canis ◽

Kerion Celsi

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Faculty Opinions recommendation of Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1104475.560508 ◽

2008 ◽

Author(s):

Stephen Cassivi

Keyword(s):

Thoracic Surgery ◽

Surgical Management ◽

Lung Tumors ◽

Primary Lung Tumors ◽

General Thoracic Surgery

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A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

Journal of the Canadian Association of Gastroenterology ◽

10.1093/jcag/gwab002.139 ◽

2021 ◽

Vol 4 (Supplement_1) ◽

pp. 128-129

Author(s):

A LAGROTTERIA ◽

A W Collins ◽

A Someili ◽

N Narula

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Case Report ◽

Proton Pump Inhibitor ◽

Proton Pump ◽

Esophageal Perforation ◽

Distal Esophagus ◽

Chest Discomfort ◽

History Of ◽

Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

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Management of chyle leakage after general thoracic surgery: Impact of thoracic duct embolization

Thoracic Cancer ◽

10.1111/1759-7714.13914 ◽

2021 ◽

Author(s):

Yeong Jeong Jeon ◽

Jong Ho Cho ◽

Dongho Hyun ◽

Sumin Shin ◽

Hong Kwan Kim ◽

...

Keyword(s):

Thoracic Surgery ◽

Thoracic Duct ◽

Chyle Leakage ◽

General Thoracic Surgery

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Continuous erector spinae plane block for postoperative analgesia in robotic lung lobectomy: a case report

Tumori Journal ◽

10.1177/03008916211005839 ◽

2021 ◽

pp. 030089162110058

Author(s):

Edoardo Ceraolo ◽

Eleonora Balzani ◽

Giulio Luca Rosboch ◽

Francesco Guerrera ◽

Paraskevas Lyberis ◽

...

Keyword(s):

Case Report ◽

Thoracic Surgery ◽

Erector Spinae ◽

Robot Assisted ◽

Lung Lobectomy ◽

Erector Spinae Plane Block ◽

Iatrogenic Complications ◽

Anesthesia Technique ◽

Right Lobe ◽

Sparing Effect

Background: Erector spinae plane block (ESPB) has been described as an effective regional anesthesia technique in thoracic parenchymal surgery. Evidence highlighting the use of this technique continuously via perifascial catheter is lacking. Case presentation: In this case report, we present the case of a patient scheduled for robotic-assisted thoracic surgery for a pulmonary neoformation in the lower right lobe. We decided to manage this patient with a multimodal approach in order to have an opioid-sparing effect. This is the first reported case of continuous ESPB in robot-assisted thoracic surgery. Conclusions: Anesthesiologists should consider this method in surgery that is slower than conventional surgery, such as robot-assisted, and less invasive than thoracotomy, which does not warrant the use of neuroaxial or paravertebral techniques that increase the risk of iatrogenic complications.

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