scholarly journals Contralateral Spontaneous Rupture of the Esophagus Following severe Vomiting After Non-intubated Pulmonary Wedge Resection

2020 ◽  
Author(s):  
Lei Liu ◽  
Wenbin Wu ◽  
Longbo Gong ◽  
Miao Zhang
Keyword(s):  
Spontaneous Rupture ◽  
Wedge Resection ◽  
Tube Feeding ◽  
Lung Surgery ◽  
Serratus Anterior ◽  
Severe Vomiting ◽  
Chest X Ray ◽  
The Right ◽  
Pulmonary Wedge Resection ◽  
Anterior Plane

Abstract Background: Non-intubated thoracoscopic lung surgery has been widely applied as it is technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery.Case Presentation: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection assisted with a laryngeal mask for a solitary pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for analgesia. The patient complained of hyperemesis followed by chest pain and acute dyspnea 6 hours after the surgery. Emergency chest x-ray revealed the right-sided hydropneumothorax. BS was confirmed by further chest tube drainage and computed tomography. The patient refused surgical intervention; therefore, conservative procedures including pleural evacuation through a naso-leakage drainage tube, antibiotics and tube feeding were administered. The healing of the esophagus was recorded 40 days later.Conclusions: Perioperative antiemetic is an indispensable item of tubeless thoracic surgery. BS should be kept in mind when the patients suffer from sudden chest distress following severe vomiting after tubeless lung surgery.

scholarly journals Contralateral spontaneous rupture of the esophagus following severe emesis after non-intubated pulmonary wedge resection

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Lei Liu ◽  
Wenbin Wu ◽  
Longbo Gong ◽  
Miao Zhang
Keyword(s):  
Spontaneous Rupture ◽  
Wedge Resection ◽  
Tube Feeding ◽  
Fast Track Surgery ◽  
Serratus Anterior ◽  
Case Presentation ◽  
Chest X Ray ◽  
The Right ◽  
Pulmonary Wedge Resection ◽  
Anterior Plane

Abstract Background Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave’s syndrome (BS), is rare after chest surgery. Case presentation A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for postoperative analgesia. However, the patient suffered from severe emesis, chest pain and dyspnea 6 h after the surgery. Emergency chest x-ray revealed right-sided hydropneumothorax. BS was diagnosed by chest tube drainage and computed tomography. Besides antibiotics and tube feeding, a naso-leakage drainage tube was inserted into the right thorax for pleural evacuation. Finally, the esophagus was healed 40d after the conservative treatment. Conclusions Perioperative antiemetic therapy is an indispensable item of fast-track surgery. Moreover, BS should be kept in mind when the patients complain of chest distress following emesis after thoracic surgery.

scholarly journals Contralateral spontaneous rupture of the esophagus following severe emesis after non-intubated pulmonary wedge resection

2020 ◽  
Author(s):  
Lei Liu ◽  
Wenbin Wu ◽  
Longbo Gong ◽  
Miao Zhang
Keyword(s):  
Spontaneous Rupture ◽  
Wedge Resection ◽  
Tube Feeding ◽  
Fast Track Surgery ◽  
Serratus Anterior ◽  
Case Presentation ◽  
Chest X Ray ◽  
The Right ◽  
Pulmonary Wedge Resection ◽  
Anterior Plane

Abstract Background: Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery.Case Presentation: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for postoperative analgesia. However, the patient suffered from severe emesis, chest pain and dyspnea 6h after the surgery. Emergency chest x-ray revealed right-sided hydropneumothorax. BS was diagnosed by chest tube drainage and computed tomography. Besides antibiotics and tube feeding, a naso-leakage drainage tube was inserted into the right thorax for pleural evacuation. Finally, the esophagus was healed 40d after the conservative treatment.Conclusions: Perioperative antiemetic therapy is an indispensable item of fast-track surgery. Moreover, BS should be kept in mind when the patients complain of chest distress following emesis after thoracic surgery.

scholarly journals Perplexing case of lung mass perfectly mimicking a malignancy

2019 ◽  
Vol 12 (7) ◽  
pp. e229273
Author(s):  
Eid Humaid Alqurashi ◽  
Ahmed Sayeed ◽  
Hasheema Hasheem Alsulami ◽  
Hadeel Mashhour Al-Qurashi
Keyword(s):  
Connective Tissue ◽  
Connective Tissue Disease ◽  
Wedge Resection ◽  
Biopsy Result ◽  
X Ray ◽  
Breath Sounds ◽  
History Of ◽  
Chest X Ray ◽  
The Right ◽  
Histopathology Examination

A 35-year-old man, a known asthmatic and with a history of smoking presented with a history of recurrent episodes of mild haemoptysis. On examination, there was decreased intensity of breath sounds on the right infraclavicular area. The chest X-ray and CT chest showed a mass in right upper lobe with nodules in the other lobe. The VAT showed large heavily vascularised mass with surface laden with multiple nodules. The wedge resection of the mass was taken and sent for histopathology examination. The biopsy result showed picture suggestive of connective tissue disease associated follicular bronchiolitis. The patient did not have any signs or symptoms of connective tissue disease. However he was positive for Rheumatoid factor, ANA, anti-RO, anti-CCP antibodies. He was started on steroids and azathioprine. After 6 months of treatment, the size of the mass and nodules reduced by 50% and ESR was reduced to 5 from 75.

scholarly journals Congenital cystic adenomatoid malformation of lung mimicking lung cancer: a case report

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Ying Zhao ◽  
Yongxiang Zhang ◽  
Leng Qi ◽  
Zhenwu Li ◽  
Pang Peng ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Case Report ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Congenital Cystic Adenomatoid Malformation ◽  
Radiological Imaging ◽  
Cystic Adenomatoid Malformation ◽  
Thin Walled ◽  
The Right ◽  
Pulmonary Wedge Resection

Abstract: We report a case of a 66-year-old woman with congenital cystic adenomatoid malformation (CCAM) that presented as a thin walled cyst on radiological imaging and mimicked lung cancer. The right pulmonary wedge resection was performed via thoracoscopic surgery. Pathologic results proved CCAM which though, uncommon may be misdiagnosed in adults.

Ultrasound-guided parasternal Pecs block: a new and useful supplement to Pecs I and serratus anterior plane blocks

2016 ◽  
Author(s):  
Dr Christian Kruse Hansen ◽  
◽  
Dr Mette Dam ◽  
Dr Troels Dirch Poulsen ◽  
Dr Per-Arne Lönnqvist ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Serratus Anterior ◽  
Anterior Plane

Survival case of acute and severe respiratory distress due to spontaneous tension gastrothorax

2020 ◽  
Vol 13 (9) ◽  
pp. e235281
Author(s):  
Sanjan Asanaru Kunju ◽  
Prithvishree Ravindra ◽  
Ramya Kumar Madabushi Vijay ◽  
Priya Pattath Sankaran
Keyword(s):  
Tension Pneumothorax ◽  
Emergency Laparotomy ◽  
Severe Respiratory Distress ◽  
Mediastinal Shift ◽  
Breath Sounds ◽  
Chest X Ray ◽  
The Right ◽  
Tension Gastrothorax ◽  
Obstructive Shock ◽  
Survival Case

A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful.

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