Thoracostomy tube drainage with tetracycline (TCN) instillation is an effective technique for management of recurrent, symptomatic, malignant pleural effusions. Although patient rotation through various positions after instillation of TCN has been advocated empirically, it has not been shown scientifically to be necessary and is often uncomfortable for the patient and time-consuming for personn...

(Chest 1991; 100:811-12) A 45-year-old housewife was referred for evaluation ofright-sided chest pain with progressive dyspnea of six months’ duration. Three months prior to presentation, she had been treated by her community doctor with 15 days ofantibiotic therapy. Thoracentesis at that time yielded sterile fluid with negative cytologic findings. The patient denied any history of fever, sweat...

OBJECTIVE To determine the patho-mechanism of pleural effusion or hydropneumothorax in Mycobacterium avium complex (MAC) lung disease through the computed tomographic (CT) findings. MATERIALS AND METHODS We retrospectively collected data from 5 patients who had pleural fluid samples that were culture-positive for MAC between January 2001 and December 2013. The clinical findings were investiga...

Abstract Background Bronchopleural fistula (BFF) is a fistulous communication between the trachea or bronchus and pleural space. Central type of bronchopleural usually post-surgical. Infective cause for central rare. This case report encompasses an infective fistula, mucormycosis. Pulmonary mucormycosis rapidly progressive condition with high mortality. A index suspicion timely intervention req...

Boerhaave's syndrome (BS), also known as "spontaneous rupture of the esophagus", constitutes an emergency that requires early diagnosis if death or serious morbidity are to be prevented. First described in 1724, BS is thought to be more common than once thought. Its true incidence remains unknown. Mortality ranges between 20-40% with timely treatment but this rises to virtually 100% if treatmen...

A three-year-old male British shorthair cat that had exhibited progressive lethargy and intermittent dyspnoea for 14 days was referred for evaluation of acute respiratory deterioration. Clinical findings included rapid and shallow breathing, pale mucous membranes, sound suppression on the right side, and a subcutaneous haematoma in the right epigastric area. Serum biochemistry analysis showed l...

BACKGROUND The diagnosis of pneumothorax with a bedside lung ultrasound is a powerful methodology. The conventional lung ultrasound examination consists of a step-by-step procedure targeted towards the detection of four classic ultrasound signs, the lung sliding, the B lines, the lung point and the lung pulse. In most cases, a combination of these signs allows a safe diagnosis of pneumothorax. ...

hydatidosis is a common infestation caused by echinococcus spp. solitary hydatid cyst of the lung is not uncommon but coexistence of two or more pulmonary cysts are less common. these cysts may drain into the bronchial tree or very rarely into the pleural cavity which causes a poor outcome. certain people such as slaughters, tanners, stockbreeders, shepherds, butchers, veterinarians and all who...

INTRODUCTION Late-onset congenital diaphragmatic hernia is a rare anomaly with misleading symptoms and signs. CASE PRESENTATION We describe the case of a 7-year-old Middle Eastern girl who presented with acute nonspecific abdominal symptoms and respiratory distress of 2 days' duration after sustaining a blunt trauma on her left chest wall on a background of chronic ill-defined left chest pain...

OBJECTIVE To report our experience of surgical procedures in the management of hydatid cysts of the lung and to assess the effect of postoperative chemotherapy. SUBJECTS AND METHODS In a longitudinal cohort study, 64 consecutive patients who presented with hydatid cysts of the lung from 1994 to 1998 were included. The main measures were: characteristics on presentation, operative techniques, ...