The Labyrinth Behind an Acute Respiratory Failure
Introduction: Acute hypoxemic respiratory failure may have different causes. Case presentation: We present the case of a 42-year-old woman, with history of recent thyroidectomy and a late history of sleeve gastrectomy, who presented for acute dyspnoea. The chest X-ray revealed hydropneumothorax, a...
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| Format: | Article |
| Language: | English |
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Bucharest College of Physicians
2018-12-01
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| Series: | Modern Medicine |
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| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2018/12/2018-4-229.pdf |
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| author | Mirela Tiglis Tudor Hurmuzache Cristina Bologa Ioana Cristina Grintescu Tiberiu Paul Neagu Cezar Pavelescu Camelia Cristina Diaconu Ovidiu Gabriel Bratu Gabriel Constantinescu Bogdan Socea Ioana Marina Grintescu |
| author_facet | Mirela Tiglis Tudor Hurmuzache Cristina Bologa Ioana Cristina Grintescu Tiberiu Paul Neagu Cezar Pavelescu Camelia Cristina Diaconu Ovidiu Gabriel Bratu Gabriel Constantinescu Bogdan Socea Ioana Marina Grintescu |
| author_sort | Mirela Tiglis |
| collection | DOAJ |
| description | Introduction: Acute hypoxemic respiratory failure may have different causes. Case presentation: We present the
case of a 42-year-old woman, with history of recent thyroidectomy and a late history of sleeve gastrectomy, who
presented for acute dyspnoea. The chest X-ray revealed hydropneumothorax, and, therefore, an intercostals chest
tube drainage was inserted. The evolution was unfavourable, with further respiratory status deterioration. A computed tomography of the thorax and abdomen was performed, that revealed a dilated thoracic oesophagus and
stenosis of the esophagogastric junction, with lack of substance in the oesophageal wall and extravasation of oesophageal content in the posterior mediastinum, due to an oesophageal pleural fi stula. An oesophageal stent was
inserted under endoscopic guidance and the patient underwent minim-invasive surgical interventions for evacuation of the mediastinal and pleural collections, with a favourable evolution. Conclusions: Acute respiratory failure
can be the face of multiple conditions, some of these can be life threatening and in need for rapid detection and
treatment. |
| format | Article |
| id | doaj-art-39d835060f5a4da4b5773d492d0e0e9a |
| institution | Kabale University |
| issn | 1223-0472 2360-2473 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Bucharest College of Physicians |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj-art-39d835060f5a4da4b5773d492d0e0e9a2025-08-20T03:49:17ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732018-12-01254229235https://doi.org/10.31689/rmm.2018.25.4.229The Labyrinth Behind an Acute Respiratory FailureMirela Tiglis0Tudor Hurmuzache1Cristina Bologa2Ioana Cristina Grintescu3Tiberiu Paul Neagu4Cezar Pavelescu5Camelia Cristina Diaconu6Ovidiu Gabriel Bratu7Gabriel Constantinescu8Bogdan Socea9Ioana Marina Grintescu10Department of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital of Bucharest, RomaniaDepartment of Thoracic Surgery, Emergency Clinical Hospital of Bucharest, RomaniaDepartment of Internal Medicine, Emergency Clinical Hospital of Bucharest, RomaniaDepartment of Urology, „Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, RomaniaDepartment of Gastroenterology, Emergency Clinical Hospital of Bucharest, RomaniaDepartment of General Surgery, „St. Pantelimon” Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Bucharest, RomaniaIntroduction: Acute hypoxemic respiratory failure may have different causes. Case presentation: We present the case of a 42-year-old woman, with history of recent thyroidectomy and a late history of sleeve gastrectomy, who presented for acute dyspnoea. The chest X-ray revealed hydropneumothorax, and, therefore, an intercostals chest tube drainage was inserted. The evolution was unfavourable, with further respiratory status deterioration. A computed tomography of the thorax and abdomen was performed, that revealed a dilated thoracic oesophagus and stenosis of the esophagogastric junction, with lack of substance in the oesophageal wall and extravasation of oesophageal content in the posterior mediastinum, due to an oesophageal pleural fi stula. An oesophageal stent was inserted under endoscopic guidance and the patient underwent minim-invasive surgical interventions for evacuation of the mediastinal and pleural collections, with a favourable evolution. Conclusions: Acute respiratory failure can be the face of multiple conditions, some of these can be life threatening and in need for rapid detection and treatment.https://medicinamoderna.ro/wp-content/uploads/2018/12/2018-4-229.pdfacute respiratory failuresleeve gastrectomyoesophageal pleural fistulaoesophageal stentchest tubemediastinitis |
| spellingShingle | Mirela Tiglis Tudor Hurmuzache Cristina Bologa Ioana Cristina Grintescu Tiberiu Paul Neagu Cezar Pavelescu Camelia Cristina Diaconu Ovidiu Gabriel Bratu Gabriel Constantinescu Bogdan Socea Ioana Marina Grintescu The Labyrinth Behind an Acute Respiratory Failure Modern Medicine acute respiratory failure sleeve gastrectomy oesophageal pleural fistula oesophageal stent chest tube mediastinitis |
| title | The Labyrinth Behind an Acute Respiratory Failure |
| title_full | The Labyrinth Behind an Acute Respiratory Failure |
| title_fullStr | The Labyrinth Behind an Acute Respiratory Failure |
| title_full_unstemmed | The Labyrinth Behind an Acute Respiratory Failure |
| title_short | The Labyrinth Behind an Acute Respiratory Failure |
| title_sort | labyrinth behind an acute respiratory failure |
| topic | acute respiratory failure sleeve gastrectomy oesophageal pleural fistula oesophageal stent chest tube mediastinitis |
| url | https://medicinamoderna.ro/wp-content/uploads/2018/12/2018-4-229.pdf |
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