Thoracostomy
Thoracic Surgery, Video-Assisted
Haemopneumothorax from congenital cystic adenomatoid malformation in a cryptorchidism patient. (1/24)
Congenital cystic adenomatoid malformation (CCAM) of the lung is an uncommon congenital anomaly, especially in young adults. This study reports an 18-yr-old male with CCAM involving the right upper lobe, who presented with a moderate spontaneous haemopneumothorax initially. The patient also had bilateral abdominal cryptorchidism which required surgical treatment earlier in childhood. The chest radiographs and contrast-enhanced computed tomographic scan of the chest showed a multicystic lesion with air-fluid levels in the right upper lung. The right upper lobe was resected through a posterolateral thoracotomy. Histological examination confirmed the diagnosis of CCAM. To the authors' knowledge, congenital cystic adenomatoid malformation presenting with spontaneous haemopneumothorax and haemoptysis has never been described in the literature. (+info)Spontaneous haemopneumothorax: are guidelines overdue? (2/24)
Spontaneous life threatening haemopneumothorax is an unusual but treatable cause of unexpected circulatory collapse in young patients. Two case histories are presented to illustrate the management of this condition. Diagnosis and initial management depends on early recognition of the clinical pattern by accident and emergency (A&E) staff and/or hospital physicians. Problems may arise for two reasons. Firstly, as the incidence of life threatening spontaneous haemopneumothorax is low, admitting medical staff may not have experienced this condition in the absence of trauma. Secondly, unlike surgeons, staff in these specialties are unlikely to have received training of either traumatic or spontaneous haemopneumothorax. The cases illustrate potential problems. Not only early recognition of the clinical pattern but also proactive intervention in the A&E department are necessary before referral to a cardiothoracic surgeon. Furthermore, we suggest treatment would be improved by the introduction of management guidelines. (+info)Spontaneous pneumomediastinum and hemopneumothoraces secondary to cystic lung metastasis. (3/24)
We report a case of a cystic metastasis to the lung from an angiosarcoma of the scalp in a 75-year-old man who complained of hemoptysis. A chest CT scan showed multiple thin-walled pulmonary cysts, bilateral pneumothoraces, small nodules and pneumomediastinum. Histologic examination revealed pleural infiltration of angiosarcoma cells. One month later, a high-resolution CT scan showed that the cysts had rapidly developed into large lesions. (+info)Traumatic hemopneumothorax in the minor pulmonary fissure. (4/24)
Traumatic rupture of the visceral pleura lining the minor pulmonary fissure may produce encapsulated hemopneumothorax limited to the space between the right upper and middle lobes. This lesion, which may persist for several weeks, may be differentiated from cystic pulmonary lesions and from lung abscess by its radiologically demonstrated constant and intimate symmetrical relation to the plane of the minor fissure. (+info)Indicators of haemothorax in patients with spontaneous pneumothorax. (5/24)
OBJECTIVES: To identify indicators and possible risk factors of haemothorax in patients with spontaneous pneumothorax. METHODS: All patients presenting to the emergency department of Chi-Mei Foundation Medical Center, Tainan, Taiwan with primary spontaneous pneumothorax between 1 January 1997 and 31 December 2002 were screened for inclusion in the present study. Of the 211 patients who qualified, eight had spontaneous haemopneumothorax (SHP) (3.79%). The clinical data and demographic characteristics of these patients were similar to those of patients with spontaneous pneumothorax without haemothorax (SP). RESULTS: All eight SHP patients were thin and young men (mean age 24 years and mean weight 56.1 kg). Seven were smokers. The patients with SHP were taller that the patients with SP (177.4 cm v 170.3 cm, respectively; p < 0.01), and tended to have a lower body mass index (BMI) (17.9 kg/m2 v 19.6 kg/m2, respectively; p = 0.06) and higher heart rate (101.0 v 88.0 beats/min, respectively; p = 0.09). Clinically, patients with SHP were more likely to have dyspnoea compared with SP patients (62.5% v 26.6%, respectively; p = 0.04) and lower levels of haemoglobin (12.8 v 14.7 g/dl, respectively; p = 0.01) and haematocrit (38.1% v 44.1%, respectively; p < 0.01). Chest x rays revealed pleural effusion in all patients with SHP but in none with SP. CONCLUSIONS: Patients with SHP are taller, with lower levels of haemoglobin and haematocrit, and are more likely to have dyspnoea than patients without haemothorax. The chest x ray finding of pneumothorax with an ipsilateral air-fluid level is a strong indicator of SHP. (+info)Eureka! A surprising appearance after aspiration of a haemopneumothorax: treat the patient not the radiograph. (6/24)
We describe the aspiration of a traumatic haemopneumothorax and an unexpected anteroposterior chest radiograph finding after the procedure. Chest aspiration is now routine emergency management for spontaneous pneumothorax. There have been no previous documented reports of this clinical scenario of radiological deterioration with clinical improvement after aspiration of a haemopneumothorax. (+info)Video assisted thoracic surgery in the management of spontaneous pneumothorax: the current status. (7/24)
Over the past decade, video assisted thoracic surgery (VATS) has changed the way spontaneous pneumothorax (SP) is managed. Benefits of VATS include less postoperative pain, shorter hospital stay, and attenuated postoperative inflammatory response are evident compared with open thoracic procedures. Furthermore, the increasing acceptance by patients and referring physicians is testament to its success. Recent studies and the authors decade of experience in management of SP by VATS show that it is quick, safe, and effective, with recurrence rates generally comparable to open procedures, with some exceptions. However, selecting the correct procedure and patient, as well as knowing the limitations of the surgeons and techniques are paramount for success. Even to this day, there are considerable variations in the treatment of SP and large scale controlled studies are needed to better define timing of surgery and the role of the different procedures in the treatment and prevention of SP. (+info)Spontaneous hemopneumothorax as a result of venous hemangioma: a unique case? (8/24)
Spontaneous hemopneumothorax is a rare clinical entity that can be life-threatening, with a significant increase in mortality if not recognized and treated in time. We report the case of a young man who presented to us with nontraumatic spontaneous hemopneumothorax. Histologic examination of lung tissue showed the most likely cause of the bleeding to be venous hemangioma, which to the best of our knowledge has not been reported before. (+info)Hemopneumothorax is a medical condition that refers to the presence of both air (pneumothorax) and blood (hemothorax) in the pleural space, which is the area between the lungs and the chest wall. This condition can occur due to various reasons such as trauma, lung disease, or certain medical procedures. It can cause symptoms like chest pain, difficulty breathing, and low oxygen levels, and it may require urgent treatment, including chest tube drainage and surgery in severe cases.
Thoracostomy is a surgical procedure that involves the creation of an opening into the chest cavity to relieve excessive pressure, drain fluid or air accumulation, or provide access for surgery. It is commonly performed to treat conditions such as pneumothorax (collapsed lung), hemothorax (blood in the chest cavity), pleural effusion (excess fluid in the pleural space), and empyema (pus in the pleural space).
During a thoracostomy, a healthcare professional makes an incision on the chest wall and inserts a tube called a thoracostomy tube or chest tube. The tube is connected to a drainage system that helps remove the air, fluid, or blood from the chest cavity. This procedure can be performed as an emergency treatment or as a planned surgical intervention.
The medical definition of thoracostomy includes the following key components:
1. A surgical procedure
2. Involving the creation of an opening
3. Into the chest cavity (thorax)
4. To relieve pressure, drain fluids or air, or provide access for surgery
5. Often performed with the insertion of a thoracostomy tube or chest tube
6. Used to treat various conditions related to the pleural space and lungs
Thoracic surgery, video-assisted (VATS) is a minimally invasive surgical technique used to diagnose and treat various conditions related to the chest cavity, including the lungs, pleura, mediastinum, esophagus, and diaphragm. In VATS, a thoracoscope, a type of endoscope with a camera and light source, is inserted through small incisions in the chest wall to provide visualization of the internal structures. The surgeon then uses specialized instruments to perform the necessary surgical procedures, such as biopsies, lung resections, or esophageal repairs. Compared to traditional open thoracic surgery, VATS typically results in less postoperative pain, shorter hospital stays, and quicker recoveries for patients.
Chest tubes are medical devices that are inserted into the chest cavity to drain fluid, air, or blood. They are typically used to treat conditions such as pneumothorax (collapsed lung), hemothorax (blood in the chest cavity), pleural effusion (excess fluid in the chest cavity), and chylothorax (milky fluid in the chest cavity).
Chest tubes are usually inserted between the ribs and directed into the chest cavity, allowing for drainage of the affected area. The tubes are connected to a collection system that creates negative pressure, which helps to remove the air or fluid from the chest cavity.
The size and number of chest tubes used may vary depending on the severity and location of the condition being treated. Chest tubes are typically removed once the underlying condition has been resolved and the drainage has decreased to a minimal amount.
Hemopneumothorax
Video-assisted thoracoscopic surgery
Pneumothorax
Hemothorax
Traumatic asphyxia
Nino Bravo
Thoracentesis
Pulmonary contusion
Min Chiu Li
Pulmonary laceration
Chest injury
List of MeSH codes (C23)
Penetrating trauma
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Pneumothorax2
- Hemopneumothorax, or haemopneumothorax, is the condition of having both air (pneumothorax) and blood (hemothorax) in the chest cavity. (wikipedia.org)
- Displaced rib fractures can lead to life-threatening injuries such as: hemopneumothorax, pneumothorax, pneumonia, internal bleeding, laceration of internal organs and lung contusions. (rollcall.com)
Traumatic1
- Practice management guidelines for prophylactic antibiotic use in tube thoracostomy for traumatic hemopneumothorax: the EAST Practice Management Guidelines Work Group. (bmj.com)
Spontaneous1
- One final classification that should be mentioned is spontaneous hemopneumothorax (SHP). (lptmedical.com)
Swine2
- Bigger is better: Comparison of alternative devices for tension hemopneumothorax and pulseless electrical activity in a Yorkshire swine model. (nih.gov)
- An experimental evaluation using a swine hemopneumothorax model. (asgmoney.co.uk)
Fractures1
- Because of hemopneumothorax, multiple rib fractures, and pulmonary contusions, severe acute respiratory distress syndrome developed, and the patient was treated with venovenous extracorporeal membrane oxygenation for 3 days. (cdc.gov)
Tension1
- Larger-Caliber Alternative Devices for Decompression of Tension Hemopneumothorax in the Setting of Hemorrhagic Shock. (nih.gov)
Placement1
- Hemopneumothorax was the most common indication for tube placement. (mdedge.com)
Right hemopneumothorax2
- A man, aged 32 years, came with a complaint of sudden shortness of breath due to a right hemopneumothorax patient who was put on a chest tube insertion. (bioscmed.com)
- Computed tomography (CT) of the thorax revealed a tension pneumopericardium and moderate right hemopneumothorax, with multiple ribs fracture. (scirp.org)
Hemothorax1
- 17. They consisted of 12 with spontaneous hemopneumothorax, 21 with traumatic hemothorax and 1 with hemothorax after thoracotomy . (vdict.pro)
Spontaneous10
- Spontaneous hemopneumothorax can be life threatening, and is a cause of patients presenting with unexplained signs of significant hypovolemia. (medscape.com)
- The debate relating to patient selection and timing of surgery in patients with spontaneous hemopneumothorax remains unresolved. (medscape.com)
- Our experience together with the latest series published over the last decade on the conservative and surgical management of spontaneous hemopneumothorax are presented and discussed. (medscape.com)
- Surgery should be performed early in the management of spontaneous hemopneumothorax to reduce morbidity. (medscape.com)
- In particular, video-assisted thoracic surgery, which is associated with potentially fewer post-operative complications and shorter hospital stays compared with thoracotomy, should be considered in patients with spontaneous hemopneumothorax who are hemodynamically stable. (medscape.com)
- Läennec in 1828 was credited with the first description of spontaneous hemopneumothorax (SHP), which was diagnosed post mortem . (medscape.com)
- Cite this: Spontaneous Hemopneumothorax - Medscape - Jul 01, 2006. (medscape.com)
- Spontaneous hemopneumothorax (SHP) is a subtype of hemopneumothorax in which there is an accumulation of blood and air in the pleural space without trauma or other definitive cause. (bioscmed.com)
- Spontaneous hemopneumothorax is a rare disease. (bioscmed.com)
- Spontaneous hemopneumothorax, in this case, is a rare case caused by arterial-vein malformation. (bioscmed.com)
Thoracic2
- El Haj Chehade A , Nasir AB , Peterson JEG, Ramseyer T , Bhardwaj H . Thoracic endometriosis presenting as hemopneumothorax. (ouhsc.edu)
- Tjoumakaris FP, Matzon JL, Williams GR. Clavicle fracture with thoracic penetration and hemopneumothorax but without neurovascular compromise. (jefferson.edu)
Lung1
- He opined that a mechanical pencil sharpener should be used to puncture someone's lung - a procedure he rendered in medical Latin: "hemopneumothorax. (allenharrislaw.com)
Trauma2
- In this scenario, a rapid, reproducible, portable, and noninvasive method such as ultrasound emerged, directed for detecting hemopericardium, hemoperitoneum, and hemopneumothorax, in a "point of care" modality, known as the focused assessment with sonography for trauma (FAST) protocol. (bvsalud.org)
- Introducción: Dentro de la atención al lesionado con trauma torácico se cuenta con varios medios diagnósticos, entre ellos la evaluación por ecografía focalizada en trauma extendido a tórax, el cual ha mostrado una alta sensibilidad, aun realizado por médicos no radiólogos como cirujanos generales, emergencistas e intensivistas. (bvsalud.org)
Injury1
- Hemopneumothorax missed by auscultation in penetrating chest injury. (powershow.com)
Detect1
- Physical examination is limited to detect hemopericardium, hemoperitoneum, and hemopneumothorax. (bvsalud.org)
Cases1
- Cases hemopneumothorax rupture emphy. (nih.gov)
Blood1
- An open hemopneumothorax was created by infusing air and blood, the animal was stabilized, then additional aliquots of air and blood were infused to simulate ongoing bleeding and air buildup. (thetraumapro.com)
Hospital1
- Se les realizó la evaluación por ecografía torácica extendida en el Hospital Universitario "General Calixto García", durante el período comprendido entre enero de 2020 y febrero de 2021. (bvsalud.org)