The authors describe a very rare aetiology of iatrogenic pneumothorax occurring during breast puncture for cytology. They review the principal origins of iatrogenic pneumothorax and describe the composition of the chest wall beneath the breast.
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Eur Clin Respir J
January 2025
Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Background: Iatrogenic pneumothorax is a common complication of diagnostic and therapeutic pulmonary procedures. New guidelines on primary spontaneous pneumothorax suggest ambulatory approaches may be suitable. However, guidance on iatrogenic pneumothorax occurring in patients with impaired lung function, increased age, comorbidity and frailty is lacking, and the safety profile of ambulatory management is not known.
View Article and Find Full Text PDFCureus
December 2024
Pre-Medical, Homestead High School, Mequon, USA.
This case report highlights a complication of pneumothorax associated with dry needling (DN), a technique used for the treatment of myofascial pain syndrome and musculoskeletal disorders. Despite its growing popularity and efficacy in relieving pain, dry needling can lead to adverse events. We present a case of a 35-year-old female who developed pneumothorax following a dry needling session.
View Article and Find Full Text PDFAm J Med Qual
January 2025
Division of Vascular and Endovascular Surgery, Duke University School of Medicine, Durham, NC.
Small-bore feeding tubes (SBFT) in vulnerable patients carry a risk of iatrogenic pneumothorax by misplacement into the lung. This institution noted a series of iatrogenic pneumothoraxes caused by the placement of these devices. A resident-led, multidisciplinary team developed a hospital guideline through a consensus-driven process.
View Article and Find Full Text PDFCRSLS
January 2025
Northwell Health-Lenox Hill Hospital, New York, NY. (Drs. Chu, Alden, and Seckin).
Introduction: There is a risk of iatrogenic vascular injuries during robotic-assisted laparoscopic excision of diaphragmatic endometriosis. Although studies are limited, the first reported case of a suprahepatic inferior vena cava (IVC) injury during robotic diaphragmatic endometriosis excision was successfully treated using a fibrin sealant patch, preventing exsanguination and conversion to laparotomy.
Case Description: A 36-year-old female with a history of recurrent catamenial pneumothorax and two prior video-assisted thoracoscopic surgeries to treat diaphragmatic endometriosis presented to our clinic with right-sided shoulder pain and a chest tube in place.
J Dent Anesth Pain Med
December 2024
Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Subcutaneous emphysema is the accumulation of gas or air in loose subcutaneous connective tissue. The use of air-driven handpieces in dental procedures is a common iatrogenic cause of intraoral mucogingival barrier disruption by high-pressure air. This case report describes a 60-year-old woman who underwent prophylactic periodontal treatment with an air-abrasive device and subsequently developed severe bilateral subcutaneous emphysema, extending from the temporal region to the thoracic and mediastinal spaces.
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