1/6. pneumopericardium and pneumothorax after permanent pacemaker implantation.We present a patient with chronic obstructive pulmonary disease who developed discomfort 2 days after dual-chamber pacemaker implantation via the left cephalic vein approach. The pacer was placed with active-fixation leads without obvious complications. A computed tomography (CT) scan taken in the emergency room showed right pneumothorax and associated pneumopericardium without pneumomediastinum. A three-dimensional reconstruction of CT images confirmed the atrial lead protruding into the pleural space. This lead likely ruptured a bulla causing a pneumothorax followed by pneumopericardium through a pleuro-pericardial communication. Chest tube placement relieved both pneumothorax and pneumopericardium without the need for atrial lead extraction.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/6. A case of Boerhaave's syndrome presenting as diffuse left pulmonary infiltrate.A case of spontaneous esophageal rupture (Boerhaave's syndrome) is presented. The patient was referred from an outside hospital emergency department to los angeles County/University of Southern california Medical Center with a history of acute left-sided chest pain immediately after an episode of forceful vomiting. An upright chest radiograph revealed a left hydropneumothorax. The diagnosis of Boerhaave's syndrome was confirmed with the placement of a chest tube and extraction of serosanguinous fluid and partially digested food particles from the left hemithorax. The patient underwent surgical repair and was discharged from the hospital in good condition. Boerhaave's syndrome is extremely rare. The predominant symptoms of chest pain and dyspnea also are found in many common disease entities, making early diagnosis difficult. Delay in diagnosis and treatment results in substantial morbidity and mortality. This case exemplifies the importance of obtaining an upright chest radiograph to make a prompt diagnosis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/6. Pulmonary complications of percutaneous nephrostomy and kidney stone extraction.Percutaneous nephrostomy and percutaneous removal of kidney stones are widely used procedures that obviate the need for open urologic surgery in many patients. In six patients who had percutaneous renal manipulation, pulmonary complications of varying severity developed, including urinothorax, pneumothorax, hemorrhage, pleural effusion, pneumonia, and atelectasis. patients having percutaneous renal manipulation should be monitored during and after the procedure for pulmonary complications.- - - - - - - - - - ranking = 4keywords = extraction (Clic here for more details about this article) |
4/6. Pulmonary complications following endotracheal intubation for anesthesia in breech extraction.A 28-year-old, healthy pregnant patient developed bilateral pneumothorax, subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum and pneumoperitoneum following endotracheal intubation and manual ventilation during general anesthesia for breech extraction. It is likely that positive-pressure ventilation was the cause for this very rare combination of complications. Early recognition and treatment may prevent such a catastrophe.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
5/6. life threatening complications from a lower wisdom tooth.The case history of a 25-year-old student who developed a number of very serious complications after a simple extraction of a lower wisdom tooth is presented. A submandibular abscess was followed by septic shock with severe thrombocytopenia and transient renal insufficiency, adult respiratory distress syndrome, pneumothorax and pericarditis. From the blood, alpha-hemolytic Streptococci were cultured, while cultures from the abscess grew bacteroides fragilis. With intensive treatment, including artificial ventilation with PEEP, the patient survived this life-threatening episode.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/6. Diffuse subcutaneous emphysema, pneumomediastinum, and pneumothorax after dental extraction.subcutaneous emphysema, pneumomediastinum, and pneumothorax may result from surgical procedures and trauma and usually do not present a diagnostic dilemma. We present a case of subcutaneous emphysema, pneumomediastinum, pneumothorax, and pneumoretroperitoneum after a dental procedure with an air-and-water-cooled turbine burr drill. This allowed air and water under pressure to be driven into the field and track through the fascial planes. Although this is a common occurrence, these patients frequently go undiagnosed or misdiagnosed as allergic reactions to locally administered anesthetic agents. If a large amount of air is injected, it may track into not only the subcutaneous tissues but also the mediastinum, pleural space, and retroperitoneal space. patients with significant amounts of air must be admitted, observed for airway compromise, and be provided IV antibiotics and hydration.- - - - - - - - - - ranking = 4keywords = extraction (Clic here for more details about this article) |