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Surgical Treatment of Infections of the Lung Pleura and Mediastinum

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Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases.

Weidong Zhang, Jingfang Chen, Xiaoming Wu, Luyu Chen, Jinxing Wei, Mingqiang Xue, Qingzheng Liang,

Objective:To analyse the clinical features of pneumomediastinum associated with DKA (diabetic ketoacidosis) to improve clinicians' understanding of the disease. Methods:A total of 78 patients with pneumomediastinum associated with DKA were identified in the literature search, and one patient treated in our hospital was included. The clinical features of the 79 ... Read more >>

Diabetes Metab Syndr Obes (Diabetes, metabolic syndrome and obesity : targets and therapy)
[2020, 13:405-412]

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Descending necrotizing mediastinitis caused by Streptococcus constellatus in an immunocompetent patient: case report and review of the literature.

Rui-Hai Ye, Jun-Chao Yang, Hui-Hua Hong, Yu-Ping Mao, Yuan-Hong Zhu, Yu Cao, Zhen Wang,

Descending necrotizing mediastinitis is a severe infection of the mediastinum. This syndrome manifests as fever and chest pain following cough and sputum production. A 49-year-old woman presented with fever and a 14-day history of pneumonia. CT showed mediastinal abscesses with a giant calcified mediastinal lymph node (21 × 18 mm) and pneumonia. Bronchoscopy ... Read more >>

BMC Pulm Med (BMC pulmonary medicine)
[2020, 20(1):43]

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Successful treatment of diffuse pulmonary lymphangiomatosis with sirolimus.

Viktorija Gurskytė, Ingrida Zeleckienė, Vygantė Maskoliūnaitė, Ugnius Mickys, Virginija Šileikienė,

Diffuse pulmonary lymphangiomatosis (DPL) is a rare disease characterized by uncontrolled proliferation of anastomosing lymphatic channels in the lungs, pleura and mediastinum. Several palliative treatment options have been suggested for this condition, such as surgical interventions, radiotherapy and systemic medications. However, the existing treatment modalities yield inconsistent results, and their ... Read more >>

Respir Med Case Rep (Respiratory medicine case reports)
[2020, 29:101014]

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Spontaneous Pneumomediastinum and Diffuse Subcutaneous Emphysema after Methamphetamine Inhalation.

Michael Agustin, Gabriel David, Ji Yeong Kang, Ornusa Teerasukjinda,

Methamphetamines are commonly abused drugs for their stimulant and euphoric effects. Inhaled and intravenous use may cause damage to the respiratory system. Spontaneous pneumomediastinum is a condition where changes in intrathoracic pressure leads to alveolar rupture and dissection of air along the tracheobronchial tree. Massive subcutaneous emphysema may result from ... Read more >>

Case Rep Pulmonol (Case reports in pulmonology)
[2020, 2020:7538748]

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Cardiac tamponade secondary to empyema.

Naoki Kawakami, Kohei Kushimoto, Fumitake Saito, Ho Namkoong,

A 70-year-old male presented with a 1-month history of malaise and fever. He was diagnosed with chronic empyema and went into shock by cardiac tamponade after treatment. This case shows that even chronic empyema can cause cardiac tamponade. It should be considered as differential diagnoses of shock after empyema treatment. ... Read more >>

Clin Case Rep (Clinical Case Reports)
[2020, 8(3):574-575]

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Multimodality Thoracoabdominal Imaging Findings in a Rare Case of Thoracic Endometriosis Syndrome.

Jigarkumar Rangunwala, Juliana Sitta, Kshama Vyas, Manohar Roda,

Thoracic endometriosis syndrome (TES) is an extremely rare disorder, and it is defined as the presence of functional endometrial tissue in pleura, airways, and lung parenchyma. We describe a rare case of a 29-year-old nulliparous female who presented with abdominal pain, dyspareunia, and shortness of breath. She complained of worsening ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6819]

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Tension Pneumothorax Following Pneumocystis jirovecii Pneumonia.

Kulachanya Suwanwongse, Nehad Shabarek,

Pneumocystis jirovecii pneumonia (PJP) is one of the most common causes of respiratory failure in patients with human immunodeficiency virus (HIV) infection, for which the mortality rate is approximately 10%. Spontaneous pneumothorax as a presentation of PJP has been reported with rising frequency, but tension pneumothorax as a presentation of ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6799]

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Curcumin as an Anticancer Agent in Malignant Mesothelioma: A Review.

Alfonso Baldi, Antonio De Luca, Patrizia Maiorano, Costantino D'Angelo, Antonio Giordano,

Malignant mesothelioma is an infrequent tumor that initiates from the mesothelial cells lining of body cavities. The great majority of mesotheliomas originate in the pleural cavity, while the remaining cases initiate in the peritoneal cavity, in the pericardial cavity or on the tunica vaginalis. Usually, mesotheliomas grow in a diffuse ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2020, 21(5):]

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Giant Cystic Mediastinal Lymphangioma.

Ana Catarina Dionísio, Ricardo Gomes, Eduardo Cernadas, Isabel Caballero, José Proença, Didia Lages, Leopoldina Vicente,

Cystic lymphangioma mainly occurs in children and develops from the lymphatic vessels. The present study reports the case of a 36-year-old female patient with a giant cystic mediastinal lymphangioma. She was asymptomatic and the diagnosis was accidental. Imaging studies are important for referral to the Cardio-Thoracic Surgery Department for surgical ... Read more >>

Eur J Case Rep Intern Med (European journal of case reports in internal medicine)
[2020, 7(1):001323]

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Mediastinal Hibernoma: A Rare Cause of Chronic Cough.

Bernardo J Muñoz-Palacio, Shairine Figueroa, Gustavo Matute, Carolina Garcia-Mejía, Juan F Betancur,

A hibernoma is an uncommon benign soft tissue tumor composed of brown adipose cells; the mediastinal location as presentation is scarce, with only six cases previously reported. The diagnosis of hibernoma is challenging and must be made based on the clinical, radiographic, and cytologic features. Here we present a 33-year-old ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6738]

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Primary pleural angiosarcoma: Case report and literature review.

Yub Raj Sedhai, Soney Basnyat, Reshma Golamari, Ajay Koirala, Mengdan Yuan,

Primary pleural angiosarcoma is an exceptionally rare malignancy of pleura originating from the vascular endothelial cells. Here, we present a 70-year-old African-American female who presented with 1-month history of dyspnea on exertion, loss of appetite, and loss of weight along with left-sided pleuritic chest pain. Evaluation revealed hemorrhagic pleural effusion ... Read more >>

SAGE Open Med Case Rep (SAGE Open Medical Case Reports)
[2020, 8:2050313X20904595]

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Combined single-port transmediastinal and laparoscopic access with CO2 insufflation for esophageal resection: a case report on a canine model.

Shaojin Zhu, Shouqiang Yu, Feng Liu,

In order to be familiar with the dissection of the esophagus through a single transmediastinal access. Combined single-port transmediastinal and laparoscopic access with CO2 insufflation for esophageal resection were performed in experimental dogs. The esophagus was separated by single-hole mediastinoscopy, the stomach was separated by laparoscopy, and left neck anastomosis ... Read more >>

AME Case Rep (AME case reports)
[2020, 4:6]

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Chest wall resection and reconstruction for lung cancer: surgical techniques and example of integrated multimodality approach.

Mauro Loi, Antonio Mazzella, Isacco Desideri, Ludovic Fournel, Emelyne Canny Hamelin, Philippe Icard, Antonio Bobbio, Marco Alifano,

J Thorac Dis (Journal of Thoracic Disease)
[2020, 12(1):22-30]

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Unusual aetiology of lymphocyte-predominant exudative pleural effusion: primary mediastinal actinomycosis.

Gil Myeong Seong, Chang Lim Hyun, Jee Won Chang, Changhwan Kim,

Actinomycosis is a rare infectious bacterial disease typically involving cervicofacial, abdominopelvic, or thoracic regions, caused by Actinomyces species. However, involvement of the mediastinum as the primary site of origin is extremely rare. An elderly patient complained of left-sided chest pain. The chest radiograph revealed pleural effusion, which revealed lymphocyte-predominant exudates. ... Read more >>

Respirol Case Rep (Respirology case reports)
[2020, 8(3):e00534]

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Nonprostatic diseases on PSMA PET imaging: a spectrum of benign and malignant findings.

Felipe de Galiza Barbosa, Marcelo Araujo Queiroz, Rafael Fernandes Nunes, Larissa Bastos Costa, Elaine Caroline Zaniboni, José Flavio Gomes Marin, Giovanni Guido Cerri, Carlos Alberto Buchpiguel,

PSMA PET imaging was originally used to assess biochemical recurrence of prostate cancer (PCa), but its clinical use was promptly extended to detection, staging and therapy response assessment. The expanding use of PSMA PET worldwide has also revealed PSMA ligand uptake in diverse nonprostatic diseases, which raised questions about the ... Read more >>

Cancer Imaging (Cancer imaging : the official publication of the International Cancer Imaging Society)
[2020, 20(1):23]

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Acute purulent mediastinitis with sequential bilateral pleural empyema caused by neck trauma: A unique occurrence, a case report.

Abdoulhossein Davoodabadi, Hamidreza Entezari, Hamidreza Talari, Ebrahim Razi,

BACKGROUND:Descending necrotizing mediastinitis (DNM) due to blunt trauma is very rare form of mediastinitis that can rapidly progress to septicemia and multi organ failure, in spite of optimal surgical management. CASE PRESENTATION:We report a 28-year-old patient, previously healthy man, with acute descending necrotizing mediastinitis and late sequential bilateral pleural empyema, ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 65:171-175]

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Multidisciplinary treatment of deep neck infection associated with descending necrotizing mediastinitis: a single-centre experience.

Chao Ma, Lian Zhou, Ji-Zhi Zhao, Run-Tai Lin, Tao Zhang, Li-Jiang Yu, Tian-Yin Shi, Mu Wang,

J. Int. Med. Res. (The Journal of international medical research)
[2019, 47(12):6027-6040]

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Fluoroscopy guided percutaneous biopsy in combination with bronchoscopy and endobronchial ultrasound in the diagnosis of suspicious lung lesions - the triple approach.

Jatinder Singh Sidhu, Geir Salte, Ida Skovgaard Christiansen, Therese Marie Henriette Naur, Asbjørn Høegholm, Paul Frost Clementsen, Uffe Bodtger,

Flexible bronchoscopy and endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) are the pulmonologists´ basic procedures for the biopsy of suspicious lung lesions. If inconclusive, other guiding-modalities for tissue sampling are needed, computed tomography performed by a radiologist, or - if available - radial EBUS or electromagnetic navigation biopsy. We wanted ... Read more >>

Eur Clin Respir J (European clinical respiratory journal)
[2020, 7(1):1723303]

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Hepatoid Adenocarcinoma Of The Lung Metastasizing To The Gingiva.

Chunhua Wang, Guohui Xu, Ge Wu, Zhiming Chen, Zhiyong Sun, Ping Zheng, Yecai Huang, Fuqiang Wang, Xuegang Yang,

Background:Hepatoid adenocarcinoma (HAC) of the lung, a very rare tumor, has been reported metastasizing to lymph nodes and distant tissue, with poor prognosis. We report a case of lung HAC metastasizing to the gingiva, which is a rare metastasis site. Case Report:A 70-year-old, 50-pack-year, male smoker was diagnosed with a ... Read more >>

Onco Targets Ther (OncoTargets and therapy)
[2019, 12:8765-8768]

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Imaging of Pulmonary Post-Tuberculosis Sequelae.

Rafeah Khan, Nuzhat Irfan Malik, Abdul Razaque,

Worldwide, tuberculosis (TB) is one of the top 10 causes of death, and the leading cause from a single infectious agent. Pakistan has an overwhelming burden of TB and it is a major health hazard for the majority of the rural population. The lung continues to be the most common ... Read more >>

Pak J Med Sci (Pakistan journal of medical sciences)
[2020, 36(1):S75-S82]

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Fatal complications in a patient with severe multi-space infections in the oral and maxillofacial head and neck regions: A case report.

Tian-Guo Dai, Hong-Bing Ran, Yin-Xiu Qiu, Bo Xu, Jin-Qiang Cheng, Ying-Kai Liu,

BACKGROUND:Odontogenic infection is one of the common infectious diseases in oral and maxillofacial head and neck regions. Clinically, if early odontogenic infections such as acute periapical periodontitis, alveolar abscess, and pericoronitis of wisdom teeth are not treated timely, effectively and correctly, the infected tissue may spread up to the skull ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2019, 7(23):4150-4156]

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Sternoclavicular Joint Septic Arthritis and Anterior Mediastinal Mass in a Young Athlete: Possible Immune-modulatory Effect of Growth Hormone.

Tahir Muhammad Abdullah Khan, Abdul Hasan Siddiqui, Yusra Ansari, Saad Ali Ansari, Faraz Siddiqui,

Septic arthritis of sternoclavicular joint (SCJ) is a rare disease, however, not uncommon in patients who abuse intravenous drugs. It can present with a wide range of manifestations that can pose diagnostic challenges, which can result in a delay in diagnosis and treatment. Over the last few decades, there is a surge in the use ... Read more >>

Cureus (Cureus)
[2019, 11(11):e6155]

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Multiple sclerosing hemangioma of the right lung in a 23-year-old female patient: A case report and review of the literature.

Han Luo, Lijie Ma, Yihua Chen, Tingxiu Zhang, Daqing Peng, Zhiwei Li, Xiaoping Dan, Zhenliang Xiao, Zhang Chen,

Pulmonary sclerosing hemangioma (PSH) is a relatively uncommon benign tumor of the lung, predominantly affecting young and middle-aged women. In the majority of the patients, PSH is incidentally found on physical examination and typically presents as a solitary nodule with smooth borders, as it is generally asymptomatic or lacks typical ... Read more >>

Mol Clin Oncol (Molecular and Clinical Oncology)
[2020, 12(3):263-267]

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A case of thymoma in myasthenia gravis: Successful outcome after thymectomy.

S Dahal, N Bhandari, P Dhakal, R M Karmacharya, A K Singh, S M Tuladhar, M Devbhandari,

INTRODUCTION:Thymic abnormalities occur as hyperplasia and thymoma. Myasthenia gravis is commonly present in thymoma. Thymectomy possesses risk due to anatomical proximity with vital thoracic structures and myasthenia crisis. PRESENTATION OF CASE:Forty five years female with complaints of difficulty swallowing and weakness of upper limb muscles upon investigation showed mass in ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 65:229-232]

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A case of emergent operation for a life-threatening infectious mediastinal cyst.

Daisuke Taniguchi, Tomoshi Tsuchiya, Keitaro Matsumoto, Takuro Miyazaki, Go Hatachi, Koichi Tomoshige, Ryoichiro Doi, Hironosuke Watanabe, Yoshiaki Zaizen, Junya Fukuoka, Takeshi Nagayasu,

PURPOSE:Congenital mediastinal cysts are an uncommon but important diagnostic group. Most of these cysts are benign and asymptomatic in adults. However, some of them are clinically problematic due to the compression of neighboring organs, infection, or perforation. CASE PRESENTATION:A 20-year-old man presented with severe dyspnea. Imaging revealed a mediastinal cyst ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 64:150-153]

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