| Autor: |
Waxman MJ; Department of Internal Medicine, Kansas University Medical Center, Kansas City, KS †Medical-Surgical Intensive Care Unit, Research Medical Center, Kansas City §St. Joseph Medical Center, Kansas City, MO ‡Mayo Clinic, Rochester, MN., Waxman JD, Forman JM |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of bronchology & interventional pulmonology [J Bronchology Interv Pulmonol] 2015 Jan; Vol. 22 (1), pp. 69-72. |
| DOI: |
10.1097/LBR.0000000000000131 |
| Abstrakt: |
A tension pneumothorax represents a medical emergency warranting urgent diagnosis and treatment. A rapidly expanding bulla may resemble the same clinical presentation but requires an entirely different treatment. A 53-year-old woman presented with increasing shortness of breath and her physical examination and chest x-ray were interpreted as showing a tension pneumothorax. A chest tube was placed which did not resolve the process. Placement of a second chest tube was likewise unsuccessful. A chest CT was then performed and was interpreted as showing an unresolved tension pneumothorax, despite seemingly adequate placement of the 2 chest tubes. Further review of the CT showed the border of a giant bulla and a tentative diagnosis was made of a rapidly expanding bulla with tension physiology. Echocardiogram revealed significant pulmonary hypertension. The bulla was surgically excised, the patient had marked improvement in her clinical symptoms and signs, and echocardiographic follow-up showed complete resolution of the pulmonary hypertension. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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