Subject(s)
Catheter Ablation/adverse effects , Esophageal Fistula/etiology , Pericardium/surgery , Pleural Diseases/etiology , Respiratory Tract Fistula/etiology , Tachycardia, Ventricular/surgery , Electrophysiologic Techniques, Cardiac , Esophageal Fistula/diagnostic imaging , Esophageal Fistula/therapy , Humans , Male , Middle Aged , Pericardium/physiopathology , Pleural Diseases/diagnostic imaging , Pleural Diseases/therapy , Respiratory Tract Fistula/diagnostic imaging , Respiratory Tract Fistula/therapy , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/physiopathology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
A bronchopleural fistula (BPF) can lead to continuous pneumothorax and is rarely reported clinically in dogs. This report describes computed tomographic (CT) findings in two dogs with BPFs and subsequent continuous pneumothoraces that necessitated thoracotomy. Both dogs had a peripheral BPF in the right caudal lung lobe. The fistula in one dog was secondary to a previous foreign body migration, and the fistula in the other was thought to be secondary to dirofilariasis. On both CT examinations, a dilated subsegmental bronchus was seen communicating with the pleural space at the center of a focal, concave region of parenchymal consolidation. Multiplanar reformatting aided in identification and characterization of the BPF. The pneumothoraces resolved after right caudal lobectomy in both dogs. CT has the potential to identify BPFs, such as secondary to foreign body migration or dirofilariasis.
Subject(s)
Bronchial Fistula/veterinary , Dog Diseases/diagnostic imaging , Pleural Diseases/veterinary , Pneumothorax/veterinary , Respiratory Tract Fistula/veterinary , Animals , Bronchial Fistula/complications , Bronchial Fistula/diagnostic imaging , Diagnosis, Differential , Dog Diseases/etiology , Dog Diseases/pathology , Dogs , Female , Male , Pleural Diseases/complications , Pleural Diseases/diagnostic imaging , Pneumothorax/diagnostic imaging , Pneumothorax/etiology , Radiography, Thoracic/veterinary , Respiratory Tract Fistula/complications , Respiratory Tract Fistula/diagnostic imaging , Tomography, X-Ray Computed/veterinaryABSTRACT
Penetrating injuries are a major cause of mortality and morbidity. The most common diagnostic tool used in this setting is CT scan. We present a case of a traumatic hepatopleural fistula demonstrated by hepatobiliary scintigraphy. Traumatic abdominal injuries to the liver and diaphragm can result in complications, whose detection by CT scan is not always straightforward. Hepatobiliary scintigraphy is very useful in the search of bilious pleural effusions.
Subject(s)
Digestive System Fistula/diagnostic imaging , Liver Diseases/diagnostic imaging , Pleural Diseases/diagnostic imaging , Respiratory Tract Fistula/diagnostic imaging , Digestive System Fistula/etiology , Humans , Liver Diseases/etiology , Male , Pleural Diseases/etiology , Radionuclide Imaging , Respiratory Tract Fistula/etiology , Wounds, Penetrating/complicationsABSTRACT
This article describes the clinical case of a patient, a 13-year-old boy, in whom the appearance of patent nasopalatine ducts was noted after having a rapid maxillary expansion performed. To confirm this finding, inspection and radiographic examination were performed in which gutta-percha cones were used as contrast. The patient related no symptoms or discomfort due to the ducts. The patient was followed up for a period of 6 months, during which he was instructed as regards correct cleaning to prevent the accumulation of food and infection.