RESUMO
We report here on an unusual late postoperative presentation of extreme post-pneumonectomy dextrocardia and spontaneous contralateral pneumothorax presenting as late complications occurring approximately 2 years after right-sided pneumonectomy. Computed tomography is the diagnostic modality of choice to obtain information on anatomical changes within the post-pneumonectomy space. Knowledge of the spectrum of cardiopulmonary, pleural, and other complications after lung resection is important to properly manage complications in post-pneumonectomy patients.
Assuntos
Dextrocardia/diagnóstico por imagem , Doenças do Mediastino/complicações , Doenças do Mediastino/diagnóstico por imagem , Pneumonectomia/efeitos adversos , Pneumotórax/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Carcinoma Pulmonar de Células não Pequenas/cirurgia , Dextrocardia/etiologia , Feminino , Humanos , Neoplasias Pulmonares/cirurgia , Doenças do Mediastino/etiologia , Pessoa de Meia-Idade , Pneumotórax/etiologia , Pneumotórax/terapia , Valor Preditivo dos Testes , Sensibilidade e EspecificidadeRESUMO
INTRODUCTION: Osteoporotic fractures in the elderly are often complicated by delayed union, pseudarthrosis or implant failure and are associated with considerable morbidity and prolonged reconvalescence. At present there is cumulating recommendation to treat this kind of fractures with angular stable implants. CASE PRESENTATION: Herein, we report on the successful definitive treatment of a displaced comminuted spiral-fracture of the distal humerus shaft in an 89-year-old woman after two attempts of internal fixation with angular stable implants had failed in severely osteoporotic bone. CONCLUSION: The present case illustrates the problems we have faced with after a single locking plate fixation, especially in poor bone, and shows a possible solution by performing a double(-locking)-plate fixation.