1/5. Spontaneous hemothorax. Report of 6 cases and review of the literature.We present 6 cases of spontaneous hemothorax and comprehensively review the medical literature on this subject. We categorize the reported causes and offer a rational diagnostic approach to patients with nontraumatic hemothorax. We recommend specific treatments for specific etiologies, and emphasize the importance of well-established surgical principles for the treatment of hemothorax. Our suggestions should enable physicians to accurately diagnose and expeditiously treat patients with spontaneous hemothorax.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Trapped-lung syndrome after cardiac surgery: a potentially preventable complication of pleural injury.A case of trapped-lung syndrome after coronary artery bypass grafting (CABG) is presented. A significant pleural injury occurred during the bypass operation resulting in intrapleural hemorrhage, pleural fibrosis, and trapped-lung syndrome. The physicians caring for the patient when she was first seen with the trapped-lung syndrome were unaware of the potential relationship between the two prior bypass surgeries to this pulmonary complication. Recognition of the potential for pleural injury to occur after cardiac operations is important and may allow for earlier diagnosis and institution of appropriate therapeutic interventions. Early recognition and treatment with pleural fluid drainage and reexpansion of the collapsed lung may help prevent this potentially serious pleuropulmonary complication from occurring. In addition, the presentation of this pleuropulmonary complication may be delayed after the cardiac surgery, making early diagnosis more problematic.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Spontaneous hemothorax in a patient with Osler-Weber-Rendu disease.We have reported a case of spontaneous hemothorax as a rare complication of Osler-Weber-Rendu disease (hereditary hemorrhagic telangiectasia). Because of the possibility of confusion with pulmonary infarction and its attendant treatment with anticoagulants, physicians should be aware of possible hemothorax in Osler-Weber-Rendu disease.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Javelin injury to the subclavian artery.Penetrating arterial injuries are exceedingly rare in athletics. The successful repair of a traumatic transection of a subclavian artery resulting from a javelin injury is reported. The importance of a high index of suspicion and an expedient and thorough evaluation of penetrating cervical and supraclavicular injuries on the part of the athletic staff and the physician is stressed. Subclavian arterial injuries are discussed and pitfalls in their assessment are listed. The principles of surgical management are outlined.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. hemothorax after Lupron therapy of a patient with pleural endometriosis--a case report and literature review.BACKGROUND--Pulmonary endometrial implants, although uncommon, have been well described in the literature. Symptoms occur with menses and may include recurrent pleuritic chest pain, pneumothorax, hemoptysis, or hemothorax. Exacerbation of pulmonary symptoms by Lupron therapy has not been previously described. CASE REPORT--A 38-year-old African-American female with known endometriosis but no history of pulmonary disease was evaluated for a 2-year history of severe dysmenorrhea. A trial of hormonal suppression was unsuccessful, and she was offered Lupron therapy. Three weeks after its initiation, and shortly after the onset of menses, she came to the emergency room with pleuritic chest pain and shortness of breath and was found to have a right-sided hemopneumothorax. Thoracentesis treatment was successful in eliminating this symptom. CONCLUSION--Although pulmonary endometriosis is rare, physicians should be aware that Lupron therapy can exacerbate pulmonary symptoms during the initial phase of therapy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |