Cases reported "Empyema, Pleural"

Filter by keywords:



Filtering documents. Please wait...

1/4. Oesophageal rupture in a patient with postoperative nausea and vomiting.

    rupture of the oesophagus (Boerhaave's syndrome) is a rare complication of forceful or suppressed vomiting. postoperative nausea and vomiting is common but does not usually lead to life-threatening complications. A case of oesophageal rupture in a man who experienced postoperative nausea and vomiting after an uncomplicated procedure is described in this report. delayed diagnosis mandated conservative treatment. The clinical presentation, diagnosis and management of oesophageal rupture is discussed.
- - - - - - - - - -
ranking = 1
keywords = esophagus
(Clic here for more details about this article)

2/4. Successful treatment of intractable esophagothoracic fistula using covered self-expandable stent.

    This report concerns the successful treatment with a covered self-expandable stent of an intractable thoracoesophageal fistula after total esophagectomy for esophageal cancer. Total esophagectomy was performed on a 68-year-old man who presented with a huge esophageal cancer in the lower esophagus. Massive leakage was observed on the 5th day postoperatively. Since high fever and coughing continued, he was diagnosed as having esophagothoracic fistula and pyothorax, after which fenestration of the right chest wall was performed. Although the patient's general condition was getting better, stenosis near the anastomosis (esophagogastrostomy) and the esophagothoracic fistula were resistant to treatment with balloon dilatation and repeated endoscopic mucotomy. Further treatment, consisting of glue or fibrin sealant injection was not effective. After a covered self-expandable stent had been placed endoscopically, however, the fistel was completely cured in 2 months. This new endoscopic approach thus represents a promising option for the treatment of intractable esophagothoracic fistula.
- - - - - - - - - -
ranking = 1
keywords = esophagus
(Clic here for more details about this article)

3/4. Isolation of legionella pneumophila serogroup 5 from empyema following esophageal perforation. Source of the organism and mode of transmission.

    A patient undergoing esophageal dilatation for carcinoma of the esophagus suffered esophageal perforation and development of an empyema. culture of pleural fluid yielded multiple organisms, including legionella pneumophila serogroup 5. Epidemiologic investigation showed that the source of L pneumophila was a tap used by the nursing personnel to fill patients' water pitchers. Whole-cell restriction endonuclease analysis of dna from the clinical and environmental isolates of L pneumophila serogroup 5 yielded identical patterns. Our findings suggest that L pneumophila was acquired by the patient at least 12 h prior to the procedure causing the esophageal perforation and empyema, suggesting that the organism can persist in an infectious form in the upper aerodigestive tract.
- - - - - - - - - -
ranking = 1
keywords = esophagus
(Clic here for more details about this article)

4/4. Tension pyopneumothorax. Rare presentation of ruptured Barrett's esophagus.

    Tension pneumothorax following esophageal rupture is very rare. We report a case in which a perforated Barrett's esophagus rapidly developed a spontaneous tension pyopneumothorax. The mechanism for the tension remains obscure. Knowing that a tension pneumothorax can occur with esophageal rupture can help prevent misdiagnosis.
- - - - - - - - - -
ranking = 5
keywords = esophagus
(Clic here for more details about this article)


Leave a message about 'Empyema, Pleural'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.