How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion.

How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion. J Thorac Dis. 2020 Aug;12(8):4450-4458 Authors: Liu Y, Yu Z, Yu P, Ito A, Gonzalez M, Hirai K, Polaczek M, Liu H Abstract Video-assisted thoracoscopic surgery (VATS) lobectomy, especially uniportal VATS, is increasingly used for pulmonary sequestration (PS). However, there are few descriptions of safe handling of the aberrant artery with atherosclerosis, especially the diameter of arteries exceeds than 2.0 cm, under uniportal VATS approach. Here we report a 56-year-old man who was diagnosed with pulmonary sequestration following trauma. The patient had a long history of cough with purulent sputum. One month before the trauma, he had copious expectoration with foul smell again. A contrast CT scan revealed a 7.5 cm mass in his right lower lobe. The mass was supplied by a thick aberrant atherosclerotic artery (over than 2 cm in diameter), which stemmed from the thoracic aorta with multiple calcifications on both. After adequate preoperative evaluation, we performed a right lower lobectomy under uniportal VATS approach. No surgical-associated complications occurred, and the patient was discharged on the 5th days after the operation. We organized an iMDT (international multidisciplinary team) to discuss the reasonability and optimal treatment pattern for this patient. We found that fully assess the quality ...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

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In conclusion, spontaneous abdominal wall hematoma is a rare and important complication that might occur during ECMO. Thus, careful physical examination should be routinely conducted when the patient is semi-prone during ECMO.
Source: Journal of Artificial Organs - Category: Transplant Surgery Source Type: research
We describe a case of vigorous cough-induced left intercostal artery rupture with partial diaphragmatic tear in a 60-year-old obese male with chronic obstructive pulmonary disease. He presented with left hemothorax, a rapidly spreading chest and abdominal wall hematoma, and progression of anemia. Computed tomography (CT) scan revealed a bleeding focus from the left 8th intercostal artery. CT-guided surface marking of the bleeding point was done over the chest wall. The patient underwent open thoracotomy with drainage of clotted hemothorax and ligation of bleeding intercostal artery. Incidentally, a partial diaphragm tear w...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
1197Introduction: In this educational poster, we present three F-18 FDG (Fluorodeoxyglucose) PET/CT cases with interesting findings. First two patients had unusual presentation of diffuse large B cell lymphoma. Third patient had FDG avid lipomatous hypertrophy of interatrial septum. Findings: First Case: 51 year old man initially presented with cough, Gastroesophageal Reflux and progressive symptoms of jaundice and fatigue. He was admitted to the hospital with febrile neutropenia and CT scan showed splenomegaly as well as lymphadenopathy above and below the diaphragm. Neck mass biopsy confirmed diagnosis of diffuse B-cell ...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Oncology Poster Session (Educational Exhbits) Source Type: research
Like everyone, I assume I’ll live forever. Although I often wonder whether anyone would come to my funeral and who would wear black, it never actually occurrs to me that there is an endpoint. It’s almost as if I would come along too to watch proceedings running smoothly and along the lines I wanted. Death was something I thought about, but in a rather abstract, offhand sort of way. It happened, of course I knew I would die at some point, but that point was somewhere out there … way off from here, where I am now. And then I hit a brick wall. The wall consisted of a tiny little bit of blood coughed up in s...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Emotional Health Happiness Thought for the day Women's Health my story Source Type: news
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Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
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CONCLUSION This case highlights, the importance of recognizing, the rare and often forgotten respiratory symptoms of EFB body to avoid diagnostic delay especially in unwitnessed FB ingestion.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Question: A 51-year-old man complained of a dry cough, dysphagia, odynophagia, and melena for 10 months. He had a>30 pack-years smoking history, but did not consume  an excessive amount of alcohol. He had no history of dyspnea, respiratory tract bleeding, or massive hemorrhage of the gastrointestinal tract. No clinically important signs were found during physical examination. Laboratory results exhibited a positive hemoccult stool test and mild anemia (hemogl obin, 107 g/L). The patient was found to have a large, soft tissue density mass in the upper esophagus on a computed tomography scan (Figure A, white arrow).
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Source: Journal of Asthma - Category: Respiratory Medicine Tags: J Asthma Source Type: research
By Andrew Yocum, MD &Andrew King, MD   A 69-year-old woman with a past medical history of multiple sclerosis, hypertension, hyperlipidemia, remote cerebral vascular accident, and a known abdominal aortic aneurysm was brought to the emergency department by EMS complaining of abdominal pain. Her AA was stable on imaging four months prior to presentation with a measurement of 3.8 cm.   The patient had intermittent generalized abdominal pain over the previous four weeks that resolved without intervention. This episode began almost 24 hours prior to presentation after the patient finished eating. She had a con...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
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