Since the introduction of central venous catheterization for monitoring of the venous pressure, fluid infusion and hyperalimentation, the literature has been full of serious life-threatening complications. Of these complications is the false positioning of the central venous catheter and subsequent development of pleural effusion. In this report we are describing a case of iatrogenic massive pl...

Empyema thoracis can produce significant morbidity in children if inadequately treated. Correct evaluation of the stage of the disease, the clinical condition of the child and proper assessment of the response to conservative treatment is crucial in deciding the mode of further surgical intervention. This ranges from intercostal chest tube drainage and video-assisted thoracoscopic surgery to op...

Abstract A 30-year-old gentleman presented with complaints of fever, productive cough, and shortness breath for 10 days. On presentation, he had a right intercostal drainage tube (ICD) in situ view chest radiograph findings where hydropneumothorax was suspected. He past history pulmonary tuberculosis 3 years back which self-discontinued anti-tubercular therapy after months. also diagnosed 2 asp...

A series of 100 penetrating wounds of the abdomen and thorax is reviewed. Eighty-three were due to stab-wounds. The recent increase in incidence is confirmed and the distribution throughout the day and months of the year is given. The results and methods of treatment of thirtysix abdominal, ten thoraco-abdominal and thirtyseven thoracic wounds are given and described. An operative approach to a...

Invasive fungal infections due to rare fungi are rising with the increase in number of immunocompromised patients. We report a case of post liver transplant wherein Verticillium was isolated from intercostal drainage fluid. The patient was a follow up case of cirrhosis with portal hypertension th and hepatic hydrothorax and was planned for liver transplant. Post transplant, the patient had feve...

A series of 100 penetrating wounds of the abdomen and thorax is reviewed. Eighty-three were due to stab-wounds. The recent increase in incidence is confirmed and the distribution throughout the day and months of the year is given. The results and methods of treatment of thirtysix abdominal, ten thoraco-abdominal and thirtyseven thoracic wounds are given and described. An operative approach to a...

We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures includin...

Intubated general anesthesia with single-lung ventilation has been considered mandatory for thoracoscopic lobectomy for nonsmall cell lung cancer. Few reports of thoracoscopic lobectomy without tracheal intubation are published, using either thoracic epidural anesthesia (TEA) or intercostal blockade. The comparisons of perioperative outcomes of nonintubated thoracoscopic lobectomy using epidura...

BACKGROUND The nonsurgical medical approach with use of fibrinolytic agent is an alternative modality in management of chronic empyemas. With the introduction of purer forms of streptokinase, there has been renewed interest generated in the use of intrapleural thrombolytics with documented successful drainage of difficult to drain chronic empyemas. To evaluate the utility of streptokinase in th...