ABSTRACT
Inadvertent insertion of the intercostal tube into abdomen is not rare. It can present by different ways. In the present case an Ascaris worm crept into the intercostal drainage bag to reveal the false passage of the tube.
Subject(s)
Ascariasis/diagnosis , Ascaris , Chest Tubes , Drainage , Jejunum/injuries , Medical Errors/adverse effects , Animals , Humans , Male , Middle Aged , Pneumothorax/diagnosis , Pneumothorax/etiology , Pneumothorax/therapySubject(s)
Choriocarcinoma/pathology , Lung Neoplasms/pathology , Adult , Choriocarcinoma/secondary , Female , Humans , Lung/pathology , Lung Neoplasms/secondary , PregnancySubject(s)
Amyloidosis/diagnosis , Congo Red , Tuberculosis, Pulmonary/complications , Adolescent , Adult , Amyloidosis/complications , Female , Humans , Male , Middle AgedABSTRACT
Lymph dynamics in idiopathic portal hypertension has been studied in two phases. In the first phase thoracic duct lymph transport was studied in 11 patients with idiopathic portal hypertension by cannulating the duct. This revealed altered lymph transport in the form of a distended thoracic duct, raised pressure in the duct, and haemorrhagic lymph with an increased flow rate. The lymph flow rate was analysed in relation to various hepatic haemodynamic and biochemical parameters. In the second phase of the study hepatic lymphatics were studied by percutaneous hepatography in 16 patients with idiopathic portal hypertension. By this technique hepatic lymphatics were opacified in patients with idiopathic portal hypertension and cirrhosis with equal frequency. The significance of this finding in relation to the altered hepatic haemodynamics and thoracic duct lymph transport is discussed.
Subject(s)
Hypertension, Portal/physiopathology , Liver , Lymphatic System/physiopathology , Thoracic Duct , HumansABSTRACT
The thoracic duct was cannulated in six patients who were actively bleeding from varices and had not responded to conservative treatment but draining lymph from the thoracic duct did not control bleeding in five patients. There was no drop in intrasplenic pulp pressure following this procedure when recorded in three of these patients. Bleeding stopped in one patient after lymph had been drained for nine and a half hours, and there was only a modest change in intrasplenic pressure. The therapeutic use of this technique to control oesophageal varices could not be substantiated.