O-138does Presence of Pleural Adhesions Alter the Outcome of Patients Undergoing Major Lung Resection?

Kouritas, Vasileios; Kefaloyannis, Emmanuel; Milton, Richard; Chaudhuri, Nilanjan; Papagiannopoulos, Kostas; Brunelli, Alessandro

doi:10.1093/icvts/ivw260.136

Cited by 21 publications

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“…We considered that increased pressure on the bronchus secondary to a bronchial anomaly might have caused the pneumomediastinum in our patient. The mediastinal tissues in older patients are fibrosed, making air movement more difficult [7]. However, the increased pressure in the bronchus upon the breath-hold could have caused the air to rupture the bronchial wall that had a cratered surface [8,9].…”

Section: Discussionmentioning

confidence: 99%

A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

Namiki¹,

Matsuno²,

Kobayashi³

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comA possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wallHirofumi Namiki, Kazuhiko Matsuno, Tadashi Kobayashi ABSTRACT Introduction: Pneumomediastinum is a rare condition that occurs after physical trauma or other situations that lead to air leakage into the mediastinum. The present report describes a middle-aged patient with pneumomediastinum caused by breath-holding at work. Case Report: A 59-year-old Japanese male presented sudden coughing immediately after breath-holding at work. A chest X-ray was normal, and a computed tomography scan showed pneumomediastinum. The patient had no other predisposing factors for pneumomediastinum, such as trauma, chronic obstructive pulmonary disease or airway infection. Bronchoscopy revealed an anatomical weakness in the bronchial wall. He recovered with two months of conservative treatment. Conclusion: Pneumomediastinum should be considered in middle-aged patients who develop sudden coughing immediately after breath-holding. Anatomical weakness in the bronchial wall should be considered as a possible new risk factor.

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Section: Discussionmentioning

confidence: 99%

A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

Namiki¹,

Matsuno²,

Kobayashi³

2017

IJCRI

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“…Pneumomediastinum is an uncommon complication of mechanical ventilation [1]. Spontaneous pneumomediastinum has also been observed in association with several structural lung diseases, including chronic obstructive lung disease, asthma, and interstitial lung diseases [1,2]. More recently it has been reported complicating the course of COVID-19 [3].…”

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confidence: 99%

“…Both spontaneous and ventilation-associated pneumomediastinum has been observed in patients with SARS, with high peak LDH level associated with its development [4]. In the presence of diffuse alveolar damage, free air could leak from ruptured alveoli, dissecting along the bronchovascular sheaths towards the mediastinum (Macklin effect) [1]. Symptoms and signs include chest pain, worsening dyspnea, subcutaneous emphysemas, mediastinal (Hamman's) crunch on heart auscultation [1].…”

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confidence: 99%

Pneumomediastinum and Subcutaneous Emphysema after Noninvasive Ventilation in a COVID-19 Patient

Vazzana

Ognibene

Dipaola

2020

Advances in Respiratory Medicine

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“…introducido por primera vez a la literatura médica por Hamman en 1939, 5 aunque las primeras descripciones conocidas de la entidad corresponden a Laennec a principios del siglo XIX. 6 Su clasificación no es del todo clara en la literatura, 7,8 aunque la diferenciación entre traumático VS. no traumático y este último entre espontáneo (sin causa establecida)…”

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Neumomediastino asociado a crisis asmática en el adulto. Reporte de dos casos

Rodríguez-Gutiérrez¹,

Urrego²,

Burgos³

et al. 2019

NCT Neumología Y Cirugía De Tórax

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Este artículo puede ser consultado en versión completa en http://www.medigraphic.com/neumologia RESUMEN. Introducción: El neumomediastino es la forma más frecuente del síndrome de fuga de aire en la crisis asmática del adulto. Es de curso benigno aunque puede complicarse por neumotórax y neumopericardio. Puede ser subdiagnosticado si no se sospecha. Presentación de los casos: Ambos casos se hallaron en Bogotá (2,640 metros sobre el nivel del mar) Caso 1: Mujer de 30 años con asma desde la infancia y tabaquismo ingresa por tos, disnea, dolor torácico anterior y cervical; se halló hipoxemia, broncoobstrucción y enfisema subcutáneo cervical, éste último confirmado en radiografía de tórax. La tomografía de tórax demostró neumomediastino extenso. Caso 2: Adolescente femenina de 16 años con antecedente de asma con síntomas respiratorios altos, disnea y dolor torácico; se documenta desaturación de oxígeno, enfisema subcutáneo cervical y torácico y sibilancias generalizadas. La radiografía de tórax confirmó enfisema subcutáneo con tomografía de tórax que diagnosticó neumomediastino. En ninguno de los casos se documentó neumotórax ni compromiso hemodinámico y ambos presentaron evolución satisfactoria con broncodilatadores, corticoide sistémico, oxigenoterapia y reposo. Conclusiones: El 11% de los pacientes con crisis asmática cursa con neumomediastino. La hipoxemia que no mejora a las 24 horas, el dolor torácico y cervical y el enfisema subcutáneo son pistas clínicas para sospecharlo siendo la tomografía de tórax el método diagnóstico por excelencia. El neumomediastino suele ser de curso benigno aunque podría complicarse poniendo en riesgo la vida. Su manejo consiste en el tratamiento de la broncoobstrucción, oxigenoterapia a alta fracción inspirada de O2 y reposo.

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O-138does Presence of Pleural Adhesions Alter the Outcome of Patients Undergoing Major Lung Resection?

Cited by 21 publications

References 0 publications

A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

Pneumomediastinum and Subcutaneous Emphysema after Noninvasive Ventilation in a COVID-19 Patient

Neumomediastino asociado a crisis asmática en el adulto. Reporte de dos casos

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