Empyema Thoracis Complicated by Pneumothorax Necessitans Manifesting as Lobulated, Localized Subcutaneous Emphysematous Swellings

We describe a patient with empyema thoracis that had eroded through the apical chest wall to the supraclavicular fossa and lung parenchyma, ultimately leading to a bronchopleural fistula manifesting as lobulated, localized subcutaneous emphysematous swellings over the chest wall and supraclavicular...

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Veröffentlicht in:	The Annals of thoracic surgery 2011-06, Vol.91 (6), p.1969-1971
Hauptverfasser:	Kuan, Yeh Chunn, MRCP, How, Soon Hin, MMED, Yeen, Wing Choy, MD, FACS, Ng, Teck Han, MRCP, Fauzi, Abdul Rani, FRCP
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Cardiology. Vascular system Cardiothoracic Surgery Empyema, Pleural - complications Human bacterial diseases Humans Infectious diseases Male Medical sciences Pneumology Pneumothorax - complications Respiratory system : syndromes and miscellaneous diseases Subcutaneous Emphysema - etiology Surgery
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Beschreibung
Zusammenfassung:	We describe a patient with empyema thoracis that had eroded through the apical chest wall to the supraclavicular fossa and lung parenchyma, ultimately leading to a bronchopleural fistula manifesting as lobulated, localized subcutaneous emphysematous swellings over the chest wall and supraclavicular fossa. This is a rarely reported phenomenon and the reason why the lobulated subcutaneous emphysematous swellings remained localized is unknown.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2010.11.075