1/6. hemopneumothorax and hemoperitoneum in a case with large cell carcinoma of the lung.hemopneumothorax and hemoperitoneum coincide rarely in nontraumatic cases. Here, a 70-year-old male presented a left axillary lymph node and was diagnosed as having metastatic squamous cell carcinoma. Under the same diagnosis, another lesion developed in the right femur and was resected. One year later, computed tomography detected another tumor in the left adrenal gland. Shortly afterwards, left pneumothorax developed and a chest operation revealed hemopneumothorax due to a ruptured cavitary form of large cell carcinoma. The serum showed a human chorionic gonadotropin-beta level of 1,100 ng/ml. At three-months later, he died of hemoperitoneum. The autopsy demonstrated hepatic metastases and a ruptured adrenal metastasis; microscopy showed marked trophoblastic and squamous cell changes in these organs. This patient was unique in that the rupture of the pulmonary and the adrenal lesions caused clinical manifestation.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
2/6. hemoperitoneum due to acute cytomegalovirus infection in a patient receiving peritoneal dialysis.A 27-year-old man receiving continuous ambulatory peritoneal dialysis (CAPD) developed high-grade fever, dyspnea, and hemoperitoneum 32 months after the start of CAPD. A chest computed tomograph showed fine reticular shadows in the bilateral lower lung fields. cytomegalovirus (CMV) antigenemia were detected, and immunoglobulin (Ig) M and IgG antibodies for CMV were also positive. The absolute counts of helper T cells (478/microL) and the ratio of helper T cells/suppressor T cells (0.25) decreased, despite no evidence of hematologic or immunologic diseases, including human immunodeficiency virus (hiv) or human T cell lymphoma virus-1 (HTLV-1) infection, or the use of immunosuppressive drugs. All symptoms, including hemoperitoneum and the ratio of helper T cells/suppressor T cells, improved gradually and spontaneously. Acute and primary cytomegalovirus (CMV) infection induced hemoperitoneum in a patient who was receiving CAPD.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
3/6. Successful transdiaphragmatic cardiac resuscitation through midline abdominal incision in patient with flail chest.This case report describes a transdiaphragmatic approach through an already present vertical midline abdominal incision for performing internal cardiac compressions in a 30-year-old male road accident victim. The patient had a flail chest with haemopneumothorax and haemoperitoneum. Exploratory laparotomy followed by splenectomy was performed under general anaesthesia but the patient developed a witnessed cardiac arrest in postoperative period. Successful resuscitation using internal cardiac compression by a transdiaphragmatic approach through the midline abdominal incision that was not extended proximally is described.- - - - - - - - - - ranking = 5keywords = chest (Clic here for more details about this article) |
4/6. Bloodstain pattern analysis in a case of suicide with a compound bow and arrow.The incidence of human fatalities due to arrow injuries in the medical literature is rare. We report an incident involving a 46-year-old man who was found in his secured apartment with a fatal arrow wound of his chest and abdomen. The initial scene investigation suggested that the victim impaled himself with an arrow attached to a razor-sharp, 4-bladed broad-head hunting tip before collapsing on the floor. However, analysis of the bloodstain patterns suggested that the victim used the compound bow to propel the arrow.When investigating deaths due to bows and arrows, thorough scene investigation along with bloodstain pattern analysis is essential in determining the mechanism of injury and manner of death.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
5/6. Bochdalek hernia with hemorrhage in an adult.life-threatening herniation of intra-abdominal viscera through a patent Bochdalek foramen is well recognized in neonates. Persistent foramina, leading to clinical problems in adult life, are very rare. In the case of the 17-year-old girl described in this paper, two-thirds of the stomach had inverted and passed into the left side of the chest as had the splenic flexure of the colon and most of the greater omentum. There was 500 mL of blood free in the peritoneal cavity and 1200 mL in the left pleural cavity, with no hernial sac. The defect measured 5 cm in diameter. It was repaired primarily after reduction of the viscera. Prompt operative intervention is recommended in such cases to prevent strangulation and bleeding from engorged viscera.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
6/6. Case report: Phrenic artery injury--a rare complication of percutaneous needle lung biopsy.The phrenic artery is a small vessel that is not often visualized on CT and is at risk of injury during biopsy of low lung lesions. This may result in haemoperitoneum that will not be evident on post-biopsy chest x-rays. We present a patient with a bleeding tendency who had this unusual complication following a needle aspiration lung biopsy.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |