Subject(s)
Enterocolitis, Necrotizing , Enterostomy , Fetal Diseases , Infant, Newborn , Humans , Female , Enterocolitis, Necrotizing/surgeryABSTRACT
Pneumothoraces may occur rarely in coronavirus (COVID-19) patients, often resulting from a combination of fibrotic parenchymal changes and prolonged high-pressure ventilation. Very few studies have been published describing the management of pneumothorax in the novel COVID-19 pneumonia patients. Although chest drain insertion represents the first line of treatment, a persistent pneumothorax and air leak requiring intervention could be managed by a thoracoscopic procedure or, as is the case here, by endobronchial valve insertion. Endobronchial valve insertion is a minimally invasive technique that provides a treatment option in patients with severe parenchymal COVID-19 related lung disease. As far as the authors are aware this is the first report of the use of endobronchial valves in a COVID-19 patient.
Subject(s)
COVID-19 , Pneumothorax , Bronchoscopy/methods , COVID-19/complications , Chest Tubes , Humans , Pneumothorax/etiology , Pneumothorax/surgery , Prostheses and ImplantsABSTRACT
Thoracoabdominal hernia following blunt trauma is extremely rare. Abdominal viscera are more likely to herniate into the thorax if there is traumatic diaphragmatic rupture. We report the case of a patient presenting with a traumatic thoracoabdominal hernia containing part of the right lobe of the liver and the hepatic flexure of the colon. The hernia migrated cranially, to protrude through a seventh intercostal defect despite the diaphragm remaining fully intact. The need for early multispecialty (thoracic and hepatobiliary) surgical repair is highlighted, with improvements in surgical outcome for a complex trauma case by using a novel chest-wall reconstruction technique.
Subject(s)
Hernia, Diaphragmatic, Traumatic/surgery , Herniorrhaphy/methods , Wounds, Nonpenetrating/surgery , Accidental Falls , Hernia, Diaphragmatic, Traumatic/etiology , Humans , Male , Middle Aged , Rib Fractures/etiology , Rib Fractures/surgery , Surgical Mesh , Suture Techniques , Tomography, X-Ray Computed , Treatment Outcome , Wounds, Nonpenetrating/etiologyABSTRACT
Mediastinal lymphangioma is a rare entity and chylopericardium is a rare form of pericardial effusion. We report a case of acute chylous cardiac tamponade due to a cervicomediastinal lymphangioma in a one-year-old boy. A chest x-ray revealed marked cardiac enlargement and echocardiography showed massive pericardial effusion. Emergency surgery was performed whereby a pericardial window was created, followed by excision of the lymphangioma.