1/7. A vanishing liver abscess complicated with klebsiella pneumoniae chest wall abscess: a case report.Septic metastasis is a unique feature of klebsiella pneumoniae liver abscess in taiwan. The case we report is a vanishing K. pneumoniae liver abscess with septic metastasis of the chest wall. The initial finding of a 36 year-old male with no previous medical history, was a huge hepatic mass presented on the sonography during a physical checkup. hepatitis b, C serology, tumor markers and evidence of metastatic diseases were all negative. A computerized tomography examination was also inconclusive about its nature. Due to the patient's refusal of a liver biopsy, only oral antibiotics were medicated at the outpatient department. Unexpectedly, the follow-up computerized tomography, taken 4 weeks later, demonstrated that the liver mass was nearly absent, while a protruding painful lesion developed over the right chest wall. Under sono-guided aspiration, the chest wall mass was proved to be a pyogenic abscess. The Gram stain revealed gram-negative bacilli and the bacterial culture yielded K. pneumoniae. Under the impression of K. pneumoniae liver abscess with chest wall septic metastasis, after performing percutaneous drainage of the chest wall abscess, the patient was only given parenteral antibiotics for treatment. Both the liver and the chest wall abscesses were at last completely eradicated.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/7. Omental transfer for the treatment of radionecrosis of chest wall.A technique is described for the treatment of non-healing deep ulcers of the chest wall following radiotherapy. These ulcers are avascular and may involve the costal cartilages. The skin around them is stretched and fixed, so that covering and healing them has been a challenging problem to surgeons. The method used in this patient utilized the transfer of the whole of the greater omentum attached to the greater curve of the stomach, which provides clean, vascular bed for the skin graft, and has been nature's best help to surgeons.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/7. A case of chronic chest wall sinus.A 17-year-old Muslim female presented with a swelling over the chest wall underneath her left breast. The swelling was aspirated and the cytology report of the aspirated material showed it to be of pyogenic origin. An incision and drainage was done, after which the patient presented with a non-healing discharging sinus at the same site. The exact nature of the disease was known only after excising the sinus tract with the affected rib.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/7. Invasive aspergillus niger with fatal pulmonary oxalosis in chronic obstructive pulmonary disease.The ubiquitous Aspergillus fungus has numerous manifestations when associated with lung disease (primary Aspergillus pneumonia, aspergilloma, allergic bronchopulmonary aspergillosis, and invasive Aspergillus). This fungus also can colonize preexisting lung disease in an indolent manner and then acutely assume a more invasive nature. Although the species aspergillus niger is infrequently encountered, the endobronchial visualization of black necrotic debris or a fungus ball or the finding of black acidic sputum or pleural fluid suggests the presence of A niger and the destructive by-product of its fermentation, oxalic acid.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
5/7. Ultrasonic evaluation of radiographic opacities of the chest.The nature of pleural based radiographic opacities in the chest can be uncertain; however, ultrasonic examination provides a reliable means of distinguishing solid from fluid-containing lesions. It is superior to both fluoroscopy and radiography in accurately localizing loculated fluid collections for thoracentesis and can be performed with commercially available gray scale contact scanning equipment. Cases representing a spectrum of clinical applications are discussed.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/7. The intrathoracic kidney.Two cases of intrathoracic kidney are discussed, both diagnosed by intravenous pyelography when other studies failed to disclose the nature of a left thoracic mass. The potential valve of intravenous pyelography in the study of a posterior mediastinal mass is emphasized. review of the literature and of these 2 cases indicates that if the intrathoracic kidney occurs as an isolated anomaly it usually functions normally and requires no treatment.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
7/7. Common bony densities mimicking chest disease.Images of bony densities on routine chest radiographs may simulate intrathoracic disease processes. Such entities include images produced by normal anatomic structures, anatomic variants, and benign processes. Most commonly, chest disease was simulated by virtue of projection or poor visualization of the bony density in question on the routine chest radiograph. The true nature of the "abnormal" images produced was usually revealed by further roentgenographic evaluation using specialized radiographic technics or additional views.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |