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Strange Saucer-Shaped Lung Collapse Successfully Salvaged in Spite of Delayed Intervention.
Cureus
August 2024
Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Article Synopsis
- A middle-aged woman experienced difficulty breathing and a chronic cough three months after undergoing mitral valve replacement surgery, prompting further evaluation of her respiratory symptoms.
- Imaging revealed an elevated right hemidiaphragm and a strange opacity in the right lower lobe, leading to a diagnosis of right hemidiaphragm palsy from a possible phrenic nerve injury during her prior surgery.
- Despite the recommendation for a diaphragmatic plication due to significant breathing issues and potential complications, the patient was hesitant about undergoing another surgery and needed time to consider her options.
Chilaiditi's Sign: A Rare Finding in a Patient with Concurrent Liver Cirrhosis and Chronic Lymphocytic Leukemia.
Clin Med Insights Case Rep
September 2024
Department of Internal Medicine, Methodist Hospital, Wenchi, Ghana.
Chilaiditi's sign is a rare radiological finding characterized by colonic interposition between the liver and the right hemidiaphragm. It is a cause of pseudopneumoperitoneum which is often mistaken for true pneumoperitoneum. In this article, we present the case of a 73-year-old female with a previous history of pulmonary tuberculosis, who reported to our hospital with progressive abdominal distension associated with early satiety, bipedal swelling, generalized weakness, worsening fatigue, and weight loss.
View Article and Find Full Text PDFGastric distension and atelectasis after using a supraglottic airway - A case report.
Anesth Pain Med (Seoul)
July 2024
Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea.
Article Synopsis
- Supraglottic airways (SGAs), like the I-gel, are commonly used during general anesthesia for patient comfort but can lead to complications such as gastric distension and regurgitation.
- A case study of a 63-year-old female patient showed that after ankle surgery using the I-gel, she experienced significant nausea and abdominal bloating due to gastric distension.
- The findings suggest that prolonged use of the I-gel can result in misplacement, leading to increased air in the stomach and potential respiratory issues like atelectasis.
Chilaiditi Sign: A Rare Radiographic Encounter and Diagnostic Exploration.
Cureus
April 2024
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
This case report explores the complex diagnostic dilemma between the Chilaiditi sign and the pneumoperitoneum. The patient presented with chronic complaints of vague abdominal pain, abdominal distension, and breathlessness. A chest X-ray indicated an elevated right hemidiaphragm with transverse colon interposition, leading to the diagnosis of Chilaiditi's sign.
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