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Costal cartilage as a promising technique for large bronchial fistula closure in fistulous empyema: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of General Thoracic Surgery, National Hospital Organization, Kanagawa Hospital, 666-1 Ochiai, Hadano, Kanagawa, 257-8585, Japan.
Background: There is no high level of evidence for the treatment of fistulous empyema. We report here a promising technique for closure of a bronchopleural fistula using costal cartilage as a bronchial embolus.
Case Presentation: The patient is a 79-year-old man.
[Successful Treatment by Performing a Middle Lobectomy for a Postoperative Bronchus Intermedius Membrane Perforation After Right Lower Lobectomy].
Kyobu Geka
September 2024
Department of General Thoracic Surgery, Obihiro Hospital, Obihiro, Japan.
Article Synopsis
- An 83-year-old man experienced a rare complication of bronchial perforation after lung cancer surgery, which was confirmed through bronchoscopy.
- After detecting a large defect in the bronchus intermedius membrane, he underwent a middle lobectomy since direct suturing was not possible.
- Despite complications like a bronchial stump fistula and heart failure, he ultimately recovered and was discharged 44 days after the reoperation, highlighting the importance of cautious surgical techniques to prevent thermal damage.
Endobronchial Infection and Bacterial Lymphadenitis by Leading to Airway Perforation and a Bronchopleural Fistula.
Case Rep Pulmonol
July 2024
Department of Internal Medicine Rocky Mountain Pulmonary and Critical Care, 3555 Lutheran Pkwy, Suite 150, Wheat Ridge, Colorado 80033, USA.
Necrotizing bronchial infection with severe infectious lymphadenitis is infrequently encountered and most commonly ascribed to , , and species. We present a unique cause of severe airway destruction with lymphadenitis and bronchopleural fistula formation by the bacterium . A 24-year-old man presented with acute symptoms of vomiting, fever, and shoulder pain.
View Article and Find Full Text PDFOutcomes of ERCP in Patients With Cystic Fibrosis: A Nationwide Inpatient Assessment.
J Clin Gastroenterol
February 2025
Division of Gastroenterology, Stanford University, Stanford, CA.
Background: Cystic fibrosis (CF) is a multisystem disorder that leads to abnormal transport of chloride and sodium across secretory epithelia resulting in thickened, viscous secretions in the bronchi, biliary tract, pancreas, intestine, and the reproductive system. Defects in the biliary tract can predispose to stone formation requiring endoscopic retrograde cholangiopancreatography (ERCP). However, there is a paucity of data assessing ERCP outcomes in patients with CF.
View Article and Find Full Text PDFSuccessful Postnatal Tracheobronchoplasty for Unilateral Congenital High Airway Obstruction Syndrome due to Mainstem Bronchial Atresia.
Fetal Diagn Ther
August 2024
Fetal Care Center of Dallas and Medical City Children's Hospital, Dallas, Texas, USA.
Introduction: Unilateral congenital high airway obstruction syndrome (CHAOS) is caused by a complete obstruction of a mainstem bronchus with resulting hyperinflation and accelerated growth of one lung, severe mediastinal shift, and hydrops. Spontaneous perforation of the atresia has been observed in CHAOS which allows hydrops to resolve but hyperinflation, mediastinal shift and a critical airway obstruction persists as the perforation is usually pinhole-sized.
Case Presentation: We present a case of unilateral CHAOS presenting at 26 2/7 weeks with observed-to-expected total lung volume (O/E TLV) of 203% with spontaneous perforation occurring at 28 weeks with resolution of hydrops but persistence of hyperinflation and mediastinal shift with an O/E TLV of 60.
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