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Pulmonary tuberculosis with the simultaneous development of the complications of empyema, multiloculated pyopneumothorax, subcutaneous emphysema and pneumomediastinum is rare. The development of these complications leads to remarkably increased incidence of morbidity and mortality in patients. So appropriate and timely management needs to be ensured for better outcomes.
View Article and Find Full Text PDFNavigating the Confluence of Esophageal Disruption and Pyopneumothorax: A Complex Clinical Encounter.
Cureus
July 2024
Pulmonary and Critical Care Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Esophagopleural fistula (EPF) is a rare complication often associated with underlying esophageal malignancies. We present the case of a 64-year-old male who presented with left-sided pyopneumothorax and was diagnosed with EPF secondary to esophageal carcinoma. Imaging studies revealed a hydropneumothorax with an esophageal-pulmonary fistula communicating with the pleural cavity.
View Article and Find Full Text PDFA Clinical Encounter With Intrathoracic Extrapulmonary Hydatid Disease.
Cureus
November 2023
Respiratory Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Intrathoracic extrapulmonary hydatid disease is an uncommon variant of hydatidosis. In this report, we describe a rare case of a 53-year-old female who presented with a left-side massive hydropneumothorax, initially treated as tubercular empyema and later came out to be intrathoracic extrapulmonary hydatid disease, with no signs of primary lesion in the lung. This case was managed with an intercostal drain insertion followed by a thoracoscopic-guided excision of the cyst, which on histopathological examination confirmed the diagnosis.
View Article and Find Full Text PDFPyopneumothorax Due to Esophageal Perforation.
Intern Med
April 2024
Department of Internal Medicine, Koga General Hospital, Japan.
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