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Talc-induced pericardial granulomatosis after recurrent pleurodesis: a rare cause of incessant pericarditis-case report.
Eur Heart J Case Rep
December 2024
Thoracic Surgery Department, Ramón y Cajal University Hospital, Madrid, Spain.
Article Synopsis
- Management of relapsing pericarditis can be challenging, especially when patients do not respond to typical medical treatments, making surgical options like pericardiectomy a potential solution.
- The case involves a 41-year-old woman who experienced persistent acute pericarditis after talc pleurodesis for recurrent pneumothorax and did not benefit from several medications, ultimately requiring surgery.
- Following an anterior pericardiectomy, where foreign body granulomas were found, the patient recovered without pain, indicating that surgical intervention can be effective for this condition, although talc-induced pericarditis is not commonly documented in medical literature.
Extrapleural air is a rare condition that may concurrently develop with pneumomediastinum and pneumothorax, especially in older patients with fragile connective tissues. Physicians should consider extrapleural air to prevent inadvertent harm. Coronal reconstruction computed tomography images help appreciate extrapleural air and recognize the track of extrapulmonary air.
View Article and Find Full Text PDFA novel approach to the lung apex avoiding dissection of severe pleural adhesions.
Gen Thorac Cardiovasc Surg
August 2023
Department of General Thoracic Surgery, Tsukuba University Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.
Article Synopsis
- A 70-year-old man was found to have a left pneumothorax, leading to surgery where severe adhesions were discovered causing airway obstruction.
- Initial treatment with fibrin glue to seal the air leak was unsuccessful, prompting a second surgery with a different approach.
- The second surgery involved accessing the lung apex via an axillary incision and resecting a bulla, suggesting this technique could be beneficial for patients with significant pleural adhesions.
Pleural appendages: Description, incidence and relations with body mass index.
Radiologia (Engl Ed)
April 2023
Department of Radiology, East Surrey Hospital, Surrey and Sussex Healthcare NHS Trust, England. Electronic address:
Background And Aims: Pleural appendages (PA) are portions of extrapleural fat that hang from the chest wall. They have been described on videothoracoscopy, however their appearance, frequency and possible relationship with the amount of patient's fat remain unknown. Our aim is to describe their appearances and prevalence on CT, and determinate whether their size and number is higher in obese patients.
View Article and Find Full Text PDFTensioned space after pneumonectomy for cancer with mediastinal shift and cardiac tamponade-causes and treatment (Review).
Exp Ther Med
September 2022
Clinic of Oncology, Institute of Oncology 'Prof. Dr. Al. Trestioreanu', Bucharest RO-022328, Romania.
Regarding the pleural space after pneumonectomy for malignancy, a vast number of studies have assessed early drop in the fluid level, suggesting a broncho-pleural fistula, but only a small number of studies reported on the abnormal increase in the fluid level-a potentially lethal complication. In the present study, the available databases worldwide were screened and 19 cases were retrieved, including 14 chylothorax and 3 hydrothorax cases, 1 pneumothorax and 1 haemothorax case. Tension chylothorax is caused by mediastinal lymph node dissection as an assumed risk in radical cancer surgery.
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