We report a case showing delayed hemothorax superimposed on extrapleural hematoma after blunt chest injury. The patient was a 56-year-old man with a medical history of alcoholic hepatopathy who presented with a chief complaint of dyspnea on exertion. One month prior to presentation, he had sustained a fall that had resulted in left simple rib fracture. A chest radiograph taken at the time of injury showed notable reduction in the permeability of the left lung field along with high pulmonary collapse as well as rightward deviation of the shadow of the inferior mediastinum. Chest CT images showed a region of low absorption in the thoracic cavity with septi. Thoracic drainage was performed (1,300 mL total) and hemothorax was diagnosed. Thoracoscopic examination was then performed. When the inside of the thorax was observed, what had been presumed to be the septi of a multilocular fluid collection was found to be actually the parietal pleura, and a hematoma was confirmed inside the extrapleural cavity. The hematoma inside the extrapleural cavity was managed with lavage and drainage, and drainage tubes were placed inside both the thoracic cavity and extrapleural cavity at the end of the procedure. The patient's postoperative course was uneventful, and he was discharged on postoperative day 4.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Article Synopsis
- * Primary pleural lymphomas (PPLs) are rare and include primary effusion lymphoma (PEL) and diffuse large B-cell lymphoma associated with chronic inflammation (DLBCL-CI), with one patient in the study showing no extra-pleural involvement, suggesting PPL.
- * The study emphasizes the importance of histopathological examination of pleural biopsies through medical thoracoscopy (MT) in accurately diagnosing B-cell non-Hodgkin's lymphoma, highlighting the link between exudative effusion and NHL.
Solitary fibrous tumour is a relatively rare soft tissue fibroblastic tumour, accounting for approximately 2% of soft tissue tumours. It has been described primarily as a tumour of the pleural cavity; however, up to 70% of cases occur elsewhere, in any anatomical location, which can make diagnosis difficult. If this is the diagnosis being considered, the STAT6 antibody is currently available with high sensitivity and specificity.
View Article and Find Full Text PDFSolitary Fibrous Tumor of Nasal Cavity: A Case Report.
Indian J Otolaryngol Head Neck Surg
June 2024
Department of Histopathology, Dr. Ziauddin University Hospital, Karachi, Pakistan.
Solitary fibrous tumors (SFTs) belonging to a distinct group of mesenchymal tumors, was originally described by Klemper and Rabin in the pleura in year 1931. However, it can also be extra-pleural in origin. With tongue being the most common site involved in this region, epiglottis, larynx, thyroid, external auditory canal, lacrimal sac, hypoglossal nerve, parotid gland, sublingual gland, Para pharyngeal space, nasopharynx, scalp, gingiva, orbit and infratemporal fossa as well as paranasal sinuses and nasal cavities can also get involved.
View Article and Find Full Text PDFBenign Spindle Cell Lesion of the Nasal Cavity: A Rare Presentation of Solitary Fibrous Tumor.
Cureus
May 2024
Otolaryngology - Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IND.
Solitary fibrous tumors (SFTs) are rare neoplasms primarily found in the pleural region but have been documented in diverse extrapleural sites, including the nasal cavity and paranasal sinuses, albeit infrequently. Here, we present a case of a 48-year-old female who presented with a right-sided nasal mass and associated ophthalmologic symptoms, ultimately diagnosed with a benign spindle cell lesion localized to the nasal cavity. The patient underwent a comprehensive evaluation involving clinical examination, radiological imaging, and histopathological analysis, leading to the identification of a benign solitary fibrous tumor.
View Article and Find Full Text PDF[Video-assisted Thoracoscopic Surgery for Chest Trauma].
Kyobu Geka
April 2024
Department of Thoracic Surgery, Nakagami Hospital, Okinawa, Japan.
Article Synopsis
- Video-assisted thoracoscopic surgery (VATS) is commonly utilized in emergency situations to assess and treat chest injuries, particularly in stable patients with chest trauma.
- From October 2009 to July 2023, 33 chest trauma surgeries were performed, with injuries primarily resulting from traffic accidents and falls, but also other causes like machinery accidents and penetrating trauma.
- Surgical techniques involved treating rib fractures and lung injuries, with strategies emphasizing the importance of thoracoscopic observation for injury assessment and a targeted thoracotomy repair method.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!