scholarly journals Case report of esophageal rupture diagnosed by thoracic drainage

2021 ◽  
Vol 35 (2) ◽  
pp. 138-142
Author(s):  
Ken Miwa ◽  
Tatsuya Miyamoto ◽  
Yasuhito Kitakado ◽  
Takahumi Oe ◽  
Yoshinori Kushiyama ◽  
...  
Keyword(s):  
Case Report ◽  
Esophageal Rupture ◽  
Thoracic Drainage

scholarly journals Meigs' syndrome with elevated CA 125: case report

2003 ◽  
Vol 121 (5) ◽  
pp. 210-212 ◽  
Author(s):  
Sabas Carlos Vieira ◽  
Leonardo Halley Carvalho Pimentel ◽  
José Carlos Castelo Branco Ribeiro ◽  
Argemiro Ferreira de Andrade Neto ◽  
Jerúsia Oliveira Ibiapina de Santana
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Ovarian Tumor ◽  
Frozen Section ◽  
Transvaginal Ultrasound ◽  
Elevated Serum ◽  
Ca 125 ◽  
Brazilian Woman ◽  
Thoracic Drainage ◽  
Benign Ovarian Tumor

CONTEXT: Meigs' syndrome consists of a benign ovarian tumor accompanied by ascites and hydrothorax. Elevated serum CA 125 levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA 125 levels. The authors report a case of Meigs' syndrome with elevated CA 125 level. OBJECTIVE: This is a case report of Meigs' syndrome with elevated CA 125 level. CASE REPORT: A 65-year-old Brazilian woman had presented progressive dyspnea, weight loss and decline in general condition over the 7 months preceding admission to our service. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion. With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of 16.4 x 10.8 cm located in the pelvis without exact limits, and the serum CA 125 level was elevated. With a preoperative diagnosis of ovarian carcinoma, the patient was submitted to exploratory laparotomy, which revealed a left ovarian tumor. The frozen section diagnosis was thecoma. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histology of the specimen confirmed the diagnosis of thecoma. The patient was asymptomatic with a normal serum CA 125 level 20 months after the operation.

scholarly journals Foreign bodies in the torax

2007 ◽  
Vol 64 (1) ◽  
pp. 61-63
Author(s):  
Zenaida Cerimagic ◽  
Safet Guska ◽  
Kenan Kadic ◽  
Bedrudin Banjanovic
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Lung Abscess ◽  
Thoracic Surgeon ◽  
Thoracic Drainage ◽  
Lung Injuries ◽  
Pulmonary Infiltration ◽  
One Year ◽  
Chronic Pneumonia

Background. Metallic foreign bodies in the lung could be recognized using radiography. Non-metallic foreign bodies make difficulties because they are not as dense as metals. The aim of this report was to present the case of nonmetallic foreign bodies in the lung. Case report. A soldier of the Federation Army of Bosnia and Hertzegovina, injured in the explosion in 1998 was presented. The soldier was subjected to thoracic drainage and surgery tretment of the wound. After one year, the pulmologist treated him with tuberculostatics because of hemoptysis and pulmonary infiltration shown by a radiogram. This therapy had no effects, and the pulmologist presented this case to the thoracic surgeon who made thoracotomy removing a piece of wood (13 ? 2 ? 0.7 cm), 20 different-size pieces of wood, and a piece of textile from the lung. Conclusion. Patients with penetrating explosive lung injuries without metallic foreign bodies shown by a radiogram, with complications as hemoptisis, lung abscess, bronchiectasis, obstruction of the bronchus, chronic pneumonia should be subjected to thoracotomy for removing suspected foreign bodies without resecting the lung.

scholarly journals Thoracoscopic subtotal esophagectomy via a right thoracic cavity approach to treat an intractable fistula after 20 months from onset of an idiopathic esophageal rupture: A case report

2019 ◽  
Vol 13 (3) ◽  
pp. 402-405
Author(s):  
Takeharu Imai ◽  
Yoshihiro Tanaka ◽  
Takahito Adachi ◽  
Tomonari Suetsugu ◽  
Masahiro Fukada ◽  
...  
Keyword(s):  
Case Report ◽  
Esophageal Rupture ◽  
Thoracic Cavity ◽  
Subtotal Esophagectomy

scholarly journals Iatrogenic Esophageal Rupture during Intragastric Balloon Insertion: A Case Report and Review of Literature

2017 ◽  
Vol 2 (5) ◽  
pp. 1-4
Author(s):  
Mohamed Abdelwahab Alassal ◽  
Mohamed Elgazzar ◽  
Mohamed Saffan ◽  
Ibrahim Kasb ◽  
Ahmed Sobhy ◽  
...  
Keyword(s):  
Case Report ◽  
Intragastric Balloon ◽  
Esophageal Rupture ◽  
Review Of Literature

scholarly journals A case of esophageal rupture caused by long-term exposure to vinegar and resolved by damage control strategies

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Tomohiro Okura ◽  
Mototaka Inaba ◽  
Isao Yasuhara ◽  
Masafumi Kataoka
Keyword(s):  
Prolonged Exposure ◽  
Control Strategies ◽  
Damage Control ◽  
Thoracic Esophagus ◽  
Esophageal Mucosa ◽  
Esophageal Rupture ◽  
Thoracic Drainage ◽  
Cervical Esophagogastric Anastomosis ◽  
Mucosal Necrosis

Abstract A 75-year-old woman had the habit of drinking vinegar. She had emergent transport to our hospital because of vomiting and unconsciousness. The patient underwent emergency surgery for esophageal rupture and septic shock. Intraoperatively, a 25 mm perforated area was found, and the visible esophageal mucosa was black. Because the suture closure or anastomosis was difficult and the shock was prolonged, she was placed in the intensive care unit after undergoing resection of the thoracic esophagus and thoracic drainage. Fifteen hours after the first surgery, we performed external esophagostomy and enterostomy. The third surgery was a retrothoracic cervical esophagogastric anastomosis, and reconstructive surgery was performed 60 days after the first surgery. Prolonged exposure to vinegar may have resulted in esophageal mucosal necrosis. This is a valuable case in which the esophageal mucosa was necrotic, and we performed esophagectomy and reconstruction as a damage control strategy to save her life.

scholarly journals Spontaneous esophageal rupture managed with endoscopic closure using an over-the-scope clip: A case report

2021 ◽  
Vol 80 ◽  
pp. 105691
Author(s):  
Hirokatsu Hayashi ◽  
Narutoshi Nagao ◽  
Kenji Yamazaki ◽  
Ryuichi Asai ◽  
Chihiro Tanaka ◽  
...  
Keyword(s):  
Case Report ◽  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture ◽  
Endoscopic Closure ◽  
Over The Scope Clip

scholarly journals Two Cases of Spontaneous Esophageal Rupture Successfully Treated by Transhiatal Thoracic Drainage under the Median Phrenotomy.

2002 ◽  
Vol 35 (9) ◽  
pp. 1482-1486 ◽  
Author(s):  
Tatsuhiko Hayashi ◽  
Akira Okada ◽  
Yoshiyuki Saito ◽  
Yuichi Murayama ◽  
Haruo Shimizu
Keyword(s):  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture ◽  
Thoracic Drainage

scholarly journals Challenging chest drainage: a case report

2021 ◽  
Vol 36 (3) ◽  
pp. 540-544
Author(s):  
Bruno Jose
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Anterior Chest Wall ◽  
Tube Thoracostomy ◽  
Initial Assessment ◽  
Blunt Dissection ◽  
Bilateral Pneumothorax ◽  
Thoracic Drainage ◽  
The Right ◽  
Light Pole

Introduction. Chest trauma is one of the most common causes of death corresponding to 20 to 25 % of cases. The majority of the patients (85%), can be managed with only a tube thoracostomy. Our objective by presenting this case report is to provide an example of how to manage a challenging chest tube thoracostomy in a patient with cardiac hernia diagnosed in the preoperative phase, based on signs of computed tomography. Case report. A 45-year-old male presented to our emergency department who fell from a light pole 7 meters high. He fell to the ground on his back. Physical examination revealed a huge subcutaneous emphysema on his entire anterior chest wall and presented no sensitivity or movements below the navel line. After the initial assessment and management care, the patient improved. As the patient stabilized we decided to go to CT. The scan revealed pericardial rupture with only the right pericardial circumference intact, the heart herniated into the left pleural space, bilateral pneumothorax, small right hemothorax and a relevant subcutaneous emphysema surrounding the chest. We decided to perform the blunt dissection technique to insert chest tubes bilaterally because of safety. After performed it the patient was transferred to cardiothoracic department. Discussion. There is a variety of techniques to perform tube thoracostomy but the blunt dissection remain the safer, especially when we are facing an anatomic distortion of the heart. Conclusion. We present a case report of a challenging thoracic drainage performed in a patient with traumatic cardiac hernia, which procedure was successful.

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