RESUMO
We present a 36-year-old immuno-compromised male with non-resolving pneumonia, who developed a broncho-pleuro-cutaneous fistula following a thoracoscopic biopsy, which was successfully managed with an ultrasound-guided blood patch placed over the bronchial defect. We discuss the mechanism by which this is presumed to close a fistula, thus justifying it as a cost effective and minimally invasive modality of treatment.
Assuntos
Fístula Brônquica , Fístula Cutânea , Doenças Pleurais , Adulto , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/etiologia , Fístula Brônquica/cirurgia , Fístula Cutânea/diagnóstico por imagem , Fístula Cutânea/etiologia , Fístula Cutânea/cirurgia , Humanos , Masculino , Pleura , Doenças Pleurais/diagnóstico por imagem , Doenças Pleurais/etiologia , Ultrassonografia de IntervençãoAssuntos
Fadiga/etiologia , Hipercalcemia/sangue , Mycobacterium tuberculosis/isolamento & purificação , Tuberculose Pulmonar/diagnóstico , Idoso , Antituberculosos/uso terapêutico , Bacillus , Feminino , Granuloma , Humanos , Resultado do Tratamento , Tuberculose Pulmonar/tratamento farmacológico , Redução de PesoRESUMO
Phlegmonous esophagogastritis is an extremely rare condition characterized by diffuse inflammation of the upper gastrointestinal tract, sparing the mucosa. Patients can present with an acute onset of symptoms, and computed tomography scans can show diffusely edematous wall with intramural low attenuation surrounded by ring enhancement. Here we report such a case of a man who presented with central chest pain and breathing difficulty. The patient developed respiratory distress due to compression of trachea by the edematous esophagus.
