scholarly journals Spontaneous pneumothorax in a newborn case report: original image, treatment process and follow-up

2020 ◽  
Vol 7 (1) ◽  
pp. 1-2
Author(s):  
Muhammet Mesut Nezir Engin ◽  
Gülden AK ◽  
Önder Kılıçaslan
Keyword(s):  
Respiratory Distress ◽  
General Condition ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Laboratory Findings ◽  
Free Air ◽  
Good General Condition ◽  
Free Drainage ◽  
Gestational Week

Pneumothorax is a condition where there is free air between the parietal and visceral pleural leaves within the thoracic cavity. She was born with a cesarean section of 2780grams in 38th gestational week. As the patient had tachypnea and intercostal retractions, he was hospitalized in another hospital and started treatment. On the second day of hospitalization, pneumothorax was seen on the posterior anterior chest radiograph and he was referred to us. When the patient came to our clinic, his general condition was poor, tachypnea, intercostal withdrawal and groan breathing were present. When the patient had low saturation, he was intubated and connected to a mechanical ventilator. The chest tube was placement and free drainage was performed. She was discharged on the 9th day of his hospitalization because of his good general condition, improved laboratory findings and no additional difficulties. Spontaneous pneumothorax should be considered in the presence of sudden respiratory distress in the newborn period. Patients diagnosed with pneumothorax should be immediately chest tube placement, patients with respiratory distress should be evaluated and given supportive treatment.

scholarly journals Rhabdomyolysis and influenza a (H3N2) infection: A case report

2017 ◽  
Vol 70 (5-6) ◽  
pp. 173-175
Author(s):  
Anja Stojsin ◽  
Vedrana Petric ◽  
Grozdana Canak ◽  
Vesna Turkulov ◽  
Sinisa Sevic ◽  
...  
Keyword(s):  
Case Report ◽  
General Condition ◽  
Influenza A ◽  
Polymerase Chain Reaction Analysis ◽  
Reference Ranges ◽  
Laboratory Findings ◽  
Progressive Muscle Weakness ◽  
Good General Condition ◽  
Life Threatening ◽  
Acute Polyneuropathy

Introduction. Extrapulmonary complications of influenza infections are often unrecognized. The aim of this paper is to point to rhabdomyolysis as a potentially life threatening complication of influenza. Case Report. A month after the onset of influenza complicated by bronchopneumonia, the general condition of a nineteen year old female deteriorated with development of progressive muscle weakness and dark-colored urine. Despite intensive hydration and antibiotic therapy, her condition got worse, laboratory findings showed pancytopenia, hypoalbuminemia and creatine phosphokinase about 1000 times higher than normal. Influenza A H3N2 was confirmed by polymerase chain reaction analysis of the throat swab sample. Electromyoneurography showed severe acute polyneuropathy of muscles innervated by perineal nerve and signs of polymyositis; pathohistological examination of gastrocnemius muscle biopsy sample confirmed chronic myositis with necrotic neurogenic atrophy. In spite of intense hydration, the patient?s status continued deteriorating, so methylprednisolone was administered. Six weeks later, the patient was discharged in a good general condition, with blood test results within reference ranges, with weakness of foot dorsiflexors and tilting of the pelvis to the left during verticalization. Conclusion. Rhabdomyolysis caused by influenza-A is on the increase, and given the degree of morbidity and mortality, thorough assessment of patients is necessary.

Acquired Eventration of the Diaphragm: A Complication of Chest Tube Placement in Neonatal Pneumothorax

PEDIATRICS ◽  
1981 ◽  
Vol 67 (4) ◽  
pp. 552-554 ◽  
Author(s):  
Philip V. Marinelli ◽  
Amil Ortiz ◽  
Errol R. Alden
Keyword(s):  
Respiratory Distress ◽  
Chest Tube ◽  
Distress Syndrome ◽  
Tension Pneumothorax ◽  
Male Infant ◽  
Assisted Ventilation ◽  
Tube Placement ◽  
Unusual Complication ◽  
Tube Insertion ◽  
Closed Tube

Air leaks are frequently encountered in newborns with respiratory distress syndrome who require assisted ventilation.1 Tension pneumothorax is a lifethreatening emergency that requires prompt drainage of the pleural space with a chest tube. Hemorrhage,2 lung perforation, 34 and infarction,5 are reported complications of closed tube thoracostomy. Recently, Ayalon et al6 have reported an unusual complication: phrenic nerve injury with diaphragmatic eventration. This communication also describes an infant with acquired eventration of the diaphragm following chest tube insertion. CASE REPORT D. L., a 1,480-gm male infant of a 30-week gestational pregnancy developed respiratory distress that required 40% oxygen. Chest radiographs revealed diffuse bilateral reticulogranular pattern and air bronchograms.

scholarly journals Re-expansion pulmonary oedema after spontaneous pneumothorax treatment with chest tube placement

2021 ◽  
Vol 14 (3) ◽  
pp. e241734
Author(s):  
Denny Rodrigues ◽  
Margarida Valério ◽  
Teresa Costa
Keyword(s):  
Pulmonary Oedema ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Chest Tube Placement

scholarly journals Metastatic Pulmonary Angiosarcoma Presenting With Bilateral Secondary Spontaneous Pneumothoraces

2016 ◽  
Vol 32 (4) ◽  
pp. 292-296
Author(s):  
Daniel Jimenez ◽  
James Antaki ◽  
Nader Kamangar
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tension Pneumothorax ◽  
Disease Process ◽  
Tube Placement ◽  
Lung Pathology ◽  
Severe Respiratory Distress ◽  
Chest Tube Placement ◽  
High Propensity ◽  
Rare Malignancy

Background: Spontaneous pneumothorax (SP) is uncommon and can present as a primary disease process or as a result of underlying lung pathology. Several parenchymal lung diseases, such as malignancy, are known to cause SP. One such malignancy, angiosarcoma, has a high propensity to metastasize to the lung and present as cavitary and cystic lesions. Case: We present a case of a 76-year-old male diagnosed with angiosarcoma of the scalp that was found to have extensive cystic pulmonary metastatic lesions. Soon after his initial diagnosis, he presented with severe respiratory distress secondary to a spontaneous left-sided pneumothorax. After intubation and left-sided chest tube placement, the patient developed a right-sided tension pneumothorax requiring emergent chest tube placement. Conclusion: Cutaneous angiosarcoma is a rare malignancy that frequently metastasizes the lung. Spontaneous pneumothorax can be the presenting manifestation of the disease and often results in respiratory failure.

scholarly journals Ménétrier's disease associated with ulcerative collitis

2003 ◽  
Vol 60 (6) ◽  
pp. 747-751 ◽  
Author(s):  
Darko Mirkovic ◽  
Radoje Doder ◽  
Srbislav Ilic ◽  
Miroslav Mitrovic ◽  
Mile Ignjatovic
Keyword(s):  
Ulcerative Colitis ◽  
Surgical Treatment ◽  
Total Gastrectomy ◽  
General Condition ◽  
Upper Endoscopy ◽  
Laboratory Findings ◽  
Menetrier’S Disease ◽  
Good General Condition ◽  
Ménétrier's Disease ◽  
Menetrier's Disease

In this paper a 21 year old patient was presented with M?n?trier's disease, associated with ulcerative colitis. The first symptoms of ulcerative colitis occured at the age of eleven, since when the patient has been conservatively treated several times because of the exacerbations of the desease. During control examinations presence of polipoid changes in stomach was discovered by upper endoscopy. Gastrectomy was suggested because the patient had excessive anemic syndrome which required weekly substitutional therapy with deplasmatic eritrocytes, as well as hypoproteinemia, while multiple polipoid changes suspect for malignancy were gastroscopically identifided. Patient accepted surgical treatment, and was transfered to the Clinic of Surgery. Total gastrectomy was performed, and patohystological finding confirmed M?n?trier's desease. After two weeks, the patient was released from the hospital in good general condition, with regular clinical and laboratory findings.

Differential Outcome of Fissure-positioned Tube in Closed Thoracostomy for Primary Spontaneous Pneumothorax

2015 ◽  
Vol 81 (5) ◽  
pp. 463-466
Author(s):  
Yong Won Kim ◽  
Chun Sung Byun ◽  
Yong Sung Cha ◽  
Oh Hyun Kim ◽  
Kang Hyun Lee ◽  
...  
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Pleural Space ◽  
Primary Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Symptom Duration ◽  
Tube Insertion ◽  
Chest Tube Placement ◽  
Chest Tube Insertion ◽  
Significant Difference

Closed tube thoracostomy is often used to evacuate a primary spontaneous pneumothorax (PSP). Occasionally, this procedure is complicated by placement of the chest tube location in the fissural area instead of pleural space. There is a paucity of studies on outcomes according to chest tube placement. As such, we investigated outcomes of chest tube placement in fissural versus pleural area in closed thoracostomy for PSP. Patients between 14 and 65 years of age who had been treated with chest tube insertion to evacuate PSP were selected based on retrospective review of medical records. Patients selected for this study received chest tube placement at either the fissural or pleural spaces. Those with pre-existing lung disease or those transferred into our hospital after closed thoracostomy were excluded. Of the 255 patients with PSP treated with chest tube insertion, 172 patients were enrolled in this study. Twenty-nine (16.9%) had fissural tube placement and 143 (83.1%) had pleural tube placement. A higher proportion of patients in the fissural versus pleural group required additional chest tube insertion (20.7% vs 4.9%, P = 0.010, respectively). There was no significant difference in body mass index, smoker status, symptom duration, number of episodes, post-thoracostomy complications, need for subsequent management, and duration of hospitalization in either group. In closed thoracostomy for PSP, there is a higher chance of tube dysfunction when the chest tube is positioned at fissural area as compared with the pleural space.

scholarly journals Optimal Initial Positioning of Chest Tubes to Prevent Retained Hemothorax Using a Novel Steerable Chest Tube With Extendable Infusion Cannula

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 324-330
Author(s):  
John B Fortune ◽  
Serena Murphy ◽  
Kimberley Tiller
Keyword(s):  
Chest Tube ◽  
Animal Studies ◽  
Training Session ◽  
Penetrating Trauma ◽  
Pleural Space ◽  
Tube Placement ◽  
Clot Lysis ◽  
Retained Hemothorax ◽  
Tip Position

ABSTRACT Introduction With blunt and penetrating trauma to the chest, warfighters and civilians frequently suffer from punctured lung (pneumothorax) and/or bleeding into the pleural space (hemothorax). Optimal management of this condition requires the rapid placement of a chest tube to evacuate as much of the blood and air as possible. Incomplete drainage of blood leading to retained hemothorax may be the result of the final tube tip position not being in contact with the blood collections. To address this problem, we sought to develop a “steerable” chest tube that could be accurately placed or repositioned into a specific desired position in the pleural space to assure optimal drainage. An integrated infusion cannula was added for the instillation of anticoagulants to maintain tube patency, thrombolytics for clot lysis, and analgesics for pain control if required. Materials and Methods A triple-lumen tube was designed to provide a channel for a pull-wire which was wound around an axle integrated into a small proximal handle and controlled by a ratcheted thumbwheel. Tension on the wire creates an arc on the tube that allows for positioning. In vitro testing focused on the relationship between the tension on the pull-wire and the resultant arc. Two adult cadavers and two anesthetized pigs were used to study the feasibility of accurate tube placement. After a brief training session, providers were asked to place tubes inferiorly along the diaphragm where blood was anticipated to accumulate or at the apex of the lung for pneumothorax. Success was determined with fluoroscopic images and was judged as a tube tip lying in the targeted position. Results The design was prototyped with an extruded polyvinyl chloride multilumen tube and a 3D printed tensioning handle. In vitro studies showed that one turn of the thumbwheel created 70° to 90° of arc of the tube. Cadaver and animal studies showed consistent success in the desired placement of the tube at or near the lateral diaphragm or in the apex. Attempts were also successful by surgical residents with minimal training. Conclusions Initial preliminary studies on a novel steerable chest tube have demonstrated the ability to appropriately position the tube in a desired location. The addition of an extendable cannula will allow for safe clot lysis or maintained tube patency. Additional studies are planned to confirm the benefit of this device in preventing retained hemothorax.

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