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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Media Med Publicis
2018-12-01
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| Series: | Modern Medicine |
| Subjects: | |
| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2018/12/2018-4-229.pdf |
| Summary: | 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. |
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| ISSN: | 1223-0472 2360-2473 |