Incidental Finding of Oleothorax

Koratala, Abhilash; Bhatti, Vikrampal

doi:10.1056/nejmicm1609176

Cited by 4 publications

(3 citation statements)

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“…With the history of treatment with tuberculosis, the most probable diagnosis was oleothorax. But this patient had no complications or symptoms related to oleothorax (Koratala & Bhatti, 2017). • Three patients diagnosed with tuberculosis were treated with oleothorax 24, 34, and 36 years ago.…”

Section: Discussionmentioning

confidence: 91%

Oleothorax: Review of Literature; Report of a Case Study and a Potential Treatment for Multi-Resistant Tuberculosis (MRTB)

Naji

2019

EJMED

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An 83 year-old-female died of dementia with history of no previous disease. On dissection, paraffin was found in the right pleural cavity, indicated that the person received therapy for cavitary tuberculosis in the 1940s or1950s but no gross evidence of pulmonary or pleural tubercular disease was identified in the patient. Literature review on oleothorax indicated several reported complications of oleothorax. This case notes the lack of any apparent complications caused by oleothorax. In this paper, we present a case and outlines the importance of oleothorax in the medical history of tuberculosis, and as a potential treatment for multi-resistant tuberculosis (MRTB).

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Section: Discussionmentioning

confidence: 91%

Oleothorax: Review of Literature; Report of a Case Study and a Potential Treatment for Multi-Resistant Tuberculosis (MRTB)

Naji

2019

EJMED

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“…A common theory behind these treatments was that the collapsed parenchyma would accelerate the healing. This was achieved by placing inert materials such as acrylic balls, rubber sheets, or oils in surgical cavities ( plombage ), or by direct intra- or extra-pleural injection of paraffin oil ( oleothorax ), to treat bronchopleural fistulas, empyema, or pneumothorax [ 123 , 124 ]. These materials have various radiographic appearance and are usually detected as pleural or subpleural masses [ 123 , 124 ].…”

Section: Differential Diagnosis Of Pleural Lesionsmentioning

confidence: 99%

Tips and Tricks in Thoracic Radiology for Beginners: A Findings-Based Approach

et al. 2023

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This review has the purpose of illustrating schematically and comprehensively the key concepts for the beginner who approaches chest radiology for the first time. The approach to thoracic imaging may be challenging for the beginner due to the wide spectrum of diseases, their overlap, and the complexity of radiological findings. The first step consists of the proper assessment of the basic imaging findings. This review is divided into three main districts (mediastinum, pleura, focal and diffuse diseases of the lung parenchyma): the main findings will be discussed in a clinical scenario. Radiological tips and tricks, and relative clinical background, will be provided to orient the beginner toward the differential diagnoses of the main thoracic diseases.

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“…Today, because this technique is outdated, and because most OL were removed, living patients who still have a pleural cavity filled with an oily substance are very few and uncommon. A few cases of OL are described in literature [6][7][8][9], usually as an occasional radiological finding. This is the first case in which the finding of an OL is studied not only with traditional radiology but also with the use of chest ultrasonography.…”

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confidence: 99%

Oleothorax: An Ultrasound Sign of an Old Practice

Flores,

Piamonti,

Vigliarolo

et al. 2024

Respiration

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Introduction: The high morbidity and mortality of tuberculosis has led to the development of numerous therapeutic interventions during the pre-antibiotic era. In 1894, Forlanini proposed the technique of collapse therapy, using spontaneous pneumothorax. In 1926, Bernou developed the Oleothorax technique to induce an iatrogenic collapse of the lung through the instillation of oil into the pleural cavity, which was subsequently removed. Nowadays, there are few patients that still represent a living testimony of this historic technique and have been described through traditional radiology. Case Presentation: We report the case of a patient with evidence of a right Oleothorax, that was investigated not only with traditional radiology but also with the use of chest ultrasonography. Ultrasounds was able to show peculiar characteristics of the Oleothorax, including its particular echogenicity, the rigidity and static nature of the collection, the presence of peripheral calcifications and the negative impact of the collection on diaphragmatic mobility and excursion. Conclusion: To our knowledge, this is the first report of an ultrasound description of Oleothorax. We have observed that ultrasound examination, in cases of basal Oleothorax, is able to add information regarding its radiological appearance and physiopathological implications on ventilatory mechanics and diaphragmatic distress.

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Incidental Finding of Oleothorax

Cited by 4 publications

References 0 publications

Oleothorax: Review of Literature; Report of a Case Study and a Potential Treatment for Multi-Resistant Tuberculosis (MRTB)

Oleothorax: Review of Literature; Report of a Case Study and a Potential Treatment for Multi-Resistant Tuberculosis (MRTB)

Tips and Tricks in Thoracic Radiology for Beginners: A Findings-Based Approach

Oleothorax: An Ultrasound Sign of an Old Practice

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