Fístula subaracnoidea-pleural traumßtica por herida de bala no penetrante en tórax / Traumatic subarachnoid-pleural fistula secondary to non-penetrating thoracic gunshot wound
Gac. méd. Méx
; Gac. méd. Méx;138(2): 191-194, mar.-abr. 2002.
Article
ي Es
| LILACS
| ID: lil-333659
المكتبة المسؤولة:
BR1.1
ABSTRACT
INTRODUCTION:
Traumatic subarachnoid-pleural fistula (TSPF) is very unusual and is due to the anomalous communication between the pleural and subarachnoid space. We report a TSPF by Bullet wound that was not penetrating to the thoracic cavity. CLINICAL CASE Masculine of 34 years-old that receives wounded by bullet in the posterior face of thorax. A pleural effusion was identified and medullar wound with fracture of the fifth thoracic vertebra. The effusion is persist and also added headache appear. TSPF was diagnosed for myelography. The patient die before carrying out the surgical treatment. A massive tromboemboly of lug was the cause. The autopsy confirmed the diagnosis.DISCUSSION:
The TSPF should be suspected by the association of medullar lesion with a persistent pleural effusion. The diagnosis should be confirmed by radiology. The treatment can be medical or surgical.
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Pleural Diseases
/
Subarachnoid Space
/
Wounds, Nonpenetrating
/
Central Nervous System Diseases
/
Respiratory Tract Fistula
/
Fistula
نوع الدراسة:
Prognostic_studies
المحددات:
Adult
/
Humans
/
Male
اللغة:
Es
مجلة:
Gac. méd. Méx
موضوع المجلة:
MEDICINA
السنة:
2002
نوع:
Article