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14.
J Cardiothorac Surg ; 15(1): 285, 2020 Oct 01.
Article in English | MEDLINE | ID: mdl-33004053

ABSTRACT

BACKGROUND: Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery. CASE PRESENTATION: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for postoperative analgesia. However, the patient suffered from severe emesis, chest pain and dyspnea 6 h after the surgery. Emergency chest x-ray revealed right-sided hydropneumothorax. BS was diagnosed by chest tube drainage and computed tomography. Besides antibiotics and tube feeding, a naso-leakage drainage tube was inserted into the right thorax for pleural evacuation. Finally, the esophagus was healed 40d after the conservative treatment. CONCLUSIONS: Perioperative antiemetic therapy is an indispensable item of fast-track surgery. Moreover, BS should be kept in mind when the patients complain of chest distress following emesis after thoracic surgery.


Subject(s)
Esophageal Perforation/surgery , Esophagus/surgery , Lung Neoplasms/surgery , Mediastinal Diseases/surgery , Pneumonectomy/adverse effects , Rupture, Spontaneous/etiology , Vomiting/etiology , Drainage , Esophageal Perforation/diagnosis , Esophageal Perforation/etiology , Esophageal Perforation/therapy , Esophagus/diagnostic imaging , Female , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Hydropneumothorax/therapy , Lung/surgery , Mediastinal Diseases/diagnosis , Mediastinal Diseases/etiology , Mediastinal Diseases/therapy , Middle Aged , Pneumonectomy/methods , Rupture, Spontaneous/surgery , Rupture, Spontaneous/therapy , Thoracic Surgery, Video-Assisted/adverse effects , Thoracic Surgery, Video-Assisted/methods , Thoracostomy , Tomography, X-Ray Computed
17.
J Med Imaging Radiat Oncol ; 63(6): 770-778, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31486255

ABSTRACT

The majority of complications following microwave ablation (MWA) of lung tumours are immediately evident, however, delayed complications do occasionally occur. The radiologist plays a major role in identifying and in guiding the management of these complications. This pictorial essay explores the imaging appejmironce of several potentially life-threatening delayed complications of pulmonary MWA.


Subject(s)
Ablation Techniques/adverse effects , Ablation Techniques/methods , Lung Neoplasms/surgery , Postoperative Complications/diagnostic imaging , Fractures, Bone/diagnostic imaging , Fractures, Bone/etiology , Fractures, Bone/therapy , Hemorrhage/diagnostic imaging , Hemorrhage/etiology , Hemorrhage/therapy , Humans , Hydropneumothorax/diagnostic imaging , Hydropneumothorax/etiology , Hydropneumothorax/therapy , Lung/diagnostic imaging , Lung/surgery , Microwaves , Pleural Effusion , Positron-Emission Tomography/methods , Postoperative Complications/therapy , Ribs/diagnostic imaging , Ribs/injuries , Tomography, X-Ray Computed/methods
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