ABSTRACT
We report a case of 68-year-old patient underwent a magnetic resonance imaging (MRI) of the skull and a computed tomography (CT) of the thorax for rhinorrhea and dyspnea. The MRI showed an irregular ethmoidal lesion and the CT of the thorax underlined a solid nodular neoformation in the upper right pulmonary lobe. The patient underwent rhinoscopy with biopsies that showed an ethmoidal adenocarcinoma; excision of the tumour was carried out via trans-sphenoid. After one month the patient underwent wedge-resections in video-thoracoscopy (VATS). Perioperative histologic examination revealed a lung metastases due to an adenocarcinoma of the ethmoid. The patient was treated with chemotherapy and did not show relapses after 12 months from VATS.
Subject(s)
Adenocarcinoma/pathology , Adenocarcinoma/surgery , Ethmoid Bone/pathology , Lung Neoplasms/secondary , Lung Neoplasms/surgery , Skull Neoplasms/pathology , Skull Neoplasms/surgery , Thoracic Surgery, Video-Assisted , Adenocarcinoma/diagnosis , Adenocarcinoma/drug therapy , Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Chemotherapy, Adjuvant/methods , Diagnosis, Differential , Ethmoid Bone/surgery , Humans , Lung Neoplasms/diagnosis , Lung Neoplasms/therapy , Male , Skull Neoplasms/diagnosis , Skull Neoplasms/drug therapy , Treatment OutcomeABSTRACT
We report 5 cases of Boerhaave's syndrome with necrotizing mediastinitis and pleural empyema. We chose a surgical treatment characterized by manual suture and heterologous tissue to repair esophagus rupture. This option allows a better result in terms of morbidity and mortality.
Subject(s)
Digestive System Surgical Procedures , Esophageal Diseases/surgery , Mediastinitis/surgery , Vomiting/complications , Aged , Animals , Cattle , Debridement , Empyema, Pleural/etiology , Empyema, Pleural/surgery , Enteral Nutrition , Esophageal Diseases/etiology , Esophagostomy , Female , Gastrostomy , Humans , Male , Mediastinitis/etiology , Mediastinitis/pathology , Middle Aged , Necrosis , Parenteral Nutrition, Total , Pericardium/transplantation , Rupture, Spontaneous , Suture Techniques , Syndrome , Thoracostomy , Thoracotomy , Transplantation, Heterologous , Treatment OutcomeABSTRACT
OBJECTIVE: To examine the diagnostic and therapeutic role of fiber-optic and rigid bronchoscopy in pediatric patients with foreign body inhalations. METHODS: From January 1986 to December 2004, we observed 128 young patients with suspicion of foreign body aspiration. Patients were divided into 3 groups: group I, patients with negative chest X-ray; group II, patients with radiological direct signs; group III, patients with radiological indirect signs. RESULTS: Removal of the foreign body was effected in 105 patients by rigid bronchoscopy and in 13 patients by fiber-optic bronchoscopy. In 3 group II patients a thoracotomy with a bronchotomy was necessary. CONCLUSIONS: Fiber-optic bronchoscopy showed a diagnostic accuracy rate of 100 % but played a poor therapeutic role with a case resolution of 10.7 %. Rigid bronchoscopy was the main technique, permitting the removal of the tracheobronchial foreign body in 97.2 % of patients.
Subject(s)
Bronchi , Bronchoscopy , Foreign Bodies/diagnosis , Foreign Bodies/therapy , Bronchoscopes , Child , Child, Preschool , Equipment Design , Female , Humans , Inhalation , Male , Radiography, Thoracic , TracheaABSTRACT
We described a rare case of pulmonary and parotid cyst for echinococcus granulosus in an eighty-one-year-old patient. Lesion was discovered in the lung owing to a clinical presentation. A swelling was the only sign in the parotid gland. Time between lung and parotid excision was 14 days. Time of hospitalizations was 4+/-1 day.