1/27. Polymorphous hemangioendothelioma.Polymorphous hemangioendothelioma is a rare vascular tumor; only 5 patients have been previously described. Half of all cases described have occurred in the thoracic cavity, all being discovered on chest radiologic studies obtained for other reasons. This report presents the case of a female patient with polymorphous hemangioendothelioma and a brief review of the current literature.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
2/27. Tension hemothorax caused by a ruptured aneurysm of the descending thoracic aorta: report of a a case.The rupture of an aneurysm of the descending thoracic aorta into the right thoracic cavity is a comparatively rare event, and it is very difficult to establish a diagnosis immediately and rescue such patients. We describe herein the successful surgical treatment of a patient with this life-threatening emergency by initiating immediate cardiopulmonary bypass.It is mandatory to drain the right thoracic bleeding through a left thoracotomy without delay to release the tension hemothorax. Furthermore, it is necessary to evacuate the right thoracic hematoma through a right thoracotomy because complete removal o f a hugh hematoma through a left thoracotomy cannot be effectively achieved.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
3/27. Traumatic false aneurysm of the descending aorta which ruptured to right thoracic cavity.A 54-year-old male, who had been involved in a traffic accident one week earlier, suddenly died in hospital without any warning. autopsy revealed right hemothorax due to rupture of a subpleural hematoma of the right lung which was connected to a false aneurysm of the descending aorta. It is likely that the false aneurysm began to grow just after the traffic accident, forming an aortopleural fistula due to preceding adhesion. This led to the formation of a hematoma in the right subpleural space, which ruptured one week after the traffic accident. The present case indicates that the natural course and pathogenesis of traumatic false aneurysm depends upon the preceding local anatomical circumferences.- - - - - - - - - - ranking = 4keywords = cavity (Clic here for more details about this article) |
4/27. mortality associated with odontogenic infection!Odontogenic causes are the most common source for spreading maxillo-facial infections. These infections can develop into life threatening events. However a fatal outcome is fortunately rare and is generally associated with an immunocompromised status. This case report highlights a spreading maxillo-facial infection, which resulted in massive haemorrhage from the subclavian vein into the pleural cavity and subsequent death of a young fit male patient.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
5/27. suicide by a power drill.This is the report of a 62-year-old man who committed suicide by drilling through his anterior chest wall with an electric power drill. death was caused by pericardial tamponade combined with bleeding into the pleural cavity. The skin lesion at the left hemithorax was similar to a bullet entrance wound.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
6/27. An adult case of Bochdalek hernia complicated with hemothorax.A 53-year-old female with mild shock due to vomiting and abdominal pain visited the emergency room of our hospital. Chest X-ray on admission showed a large amount of left pleural effusion. Thoracentesis revealed hemorrhagic pleural effusion. An upper gastrointestinal series showed interruption of the upper gastric body, but the anal side was not visualized. Contrast X-ray examination of the thoracic cavity via the drainage tube demonstrated intrathoracic herniation through the diaphragm. These findings suggested gastric impaction in the foramen of Bochdalek, and thoracotomy was immediately performed. A black-colored stomach and greater omentum, suggesting necrotic changes, were observed in the thoracic cavity, and there was bleeding from the greater omentum. Resection of the necrotic organs and closure of the hernial orifice were followed by good recovery.- - - - - - - - - - ranking = 2keywords = cavity (Clic here for more details about this article) |
7/27. Partial pericardial defect associated with ruptured aortic dissection of the ascending aorta: a rare feature presenting severe left hemothorax without cardiac tamponade.We report a very rare case of acute aortic dissection of the ascending aorta, which ruptured to the left pleural cavity through the left-side congenital pericardial defect. A preoperative computed tomographic scan and a roentgenogram showed localized dissection of the ascending aorta and severely deteriorating left hemothorax, which required emergency operation. Intraoperative findings revealed the ruptured aortic dissection of the ascending aorta and the defect at the left-side pericardium, and a graft replacement of the ascending aorta was performed. It was considered that congenital pericardial defect complicates the diagnosis in a case of catastrophic intrapericardial hemorrhage.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
8/27. Unanticipated hemothorax during general anesthesia.We experienced a case of uncommon spontaneous hemothorax during general anesthesia. A 72-year-old woman underwent emergency repair of damaged ascending colon. Her chest roentgenogram before surgery revealed no abnormalities. After the uneventful surgery, the trachea was extubated and the patient breathed without difficulty with stable vital signs. However, the S(p)(O)(2) varied around 95% with a 100% oxygen mask. Chest roentgenogram obtained after extubation showed a massive amount of fluid in the pleural cavity. A chest drainage tube was inserted, and approximately 1000 ml of frank blood was drawn without air leakage. Thereafter, her oxygenation remarkably improved. We could not determine the etiology of the hemothorax.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
9/27. Successful treatment of massive bleeding into the open thoracotomy space by pulmonary artery occlusion: report of a case.A 69-year-old man underwent decortication and latissimus dorsi muscle transposition for the treatment of chronic empyema in January 2001. The empyema recurred in March 2002, and open drainage was thus started in July 2002. In February 2003, massive hemorrhaging from the thoracic cavity occurred. Tamponade and hemostasis were performed immediately, and angiography revealed bleeding from the pulmonary artery (PA). After identification of the bleeding point, surgical hemostasis was successfully achieved following PA occlusion with a Swan-Ganz thermodilution catheter.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
10/27. Complete left-sided absence of the pericardium in association with ruptured type A aortic dissection complicated by severe left hemothorax.We report an unusual clinical presentation of an acute type A aortic dissection as a left hemothorax in a patient with a congenital pericardial defect. Although the pericardial defect was diagnosed preoperatively, we could not exclude the possibility of a ruptured descending aorta until we discovered the site of the rupture during operation. The presence of a pericardial defect would at first appear to be a fatal disadvantage in such a situation as this, due to massive bleeding into the pleural space; but we believe that in our patient spontaneous drainage of blood into the pleural cavity prevented severe cardiac tamponade. The only reason for his deteriorating hemodynamic status was hypovolemia, which was corrected with volume replacement.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
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