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Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema
INTRODUCTION: Bilateral empyema is a rare and life-threatening condition that is difficult to treat. We herein report a case of bilateral empyema that was treated with simultaneous bilateral decortications via video-assisted thoracic surgery (VATS). PRESENTATION OF CASE: A 38-year-old female complai...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334203/ https://www.ncbi.nlm.nih.gov/pubmed/25528031 http://dx.doi.org/10.1016/j.ijscr.2014.11.079 |
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author | Nose, Naohiro Anami, Toshiki |
author_facet | Nose, Naohiro Anami, Toshiki |
author_sort | Nose, Naohiro |
collection | PubMed |
description | INTRODUCTION: Bilateral empyema is a rare and life-threatening condition that is difficult to treat. We herein report a case of bilateral empyema that was treated with simultaneous bilateral decortications via video-assisted thoracic surgery (VATS). PRESENTATION OF CASE: A 38-year-old female complained of chest pain, dyspnea, and high grade fever lasting two weeks. Computed tomography revealed bilateral notching pleural effusion and pneumonia with atelectasis. Bilateral thoracic drainage was performed. From the right chest, white pus was drained, and Streptococcus anginosus was identified. The left drainage fluid was serous, and no bacteria were identified. We diagnosed the patient with right empyema and left para-pneumonic effusion consequent to pneumonia. Because conservative therapies could not resolve the inflammatory findings, simultaneous bilateral VATS decortications were performed. Both thoracic cavities had loculated pleural effusion. In contrast to the preoperative findings, white pus was found in not only the right, but also the left thoracic cavity. She had an uncomplicated postoperative course and recovered. DISCUSSION: Bilateral empyema that has developed to the fibrinopleural phase is difficult to treat with drains alone. Bilateral VATS decortications helped to make a definitive diagnosis and treat both sides simultaneously. CONCLUSION: Simultaneous bilateral VATS decortications should be considered as a feasible and effective procedure for bilateral empyema that is refractory to medical treatment. |
format | Online Article Text |
id | pubmed-4334203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-43342032015-03-03 Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema Nose, Naohiro Anami, Toshiki Int J Surg Case Rep Case Report INTRODUCTION: Bilateral empyema is a rare and life-threatening condition that is difficult to treat. We herein report a case of bilateral empyema that was treated with simultaneous bilateral decortications via video-assisted thoracic surgery (VATS). PRESENTATION OF CASE: A 38-year-old female complained of chest pain, dyspnea, and high grade fever lasting two weeks. Computed tomography revealed bilateral notching pleural effusion and pneumonia with atelectasis. Bilateral thoracic drainage was performed. From the right chest, white pus was drained, and Streptococcus anginosus was identified. The left drainage fluid was serous, and no bacteria were identified. We diagnosed the patient with right empyema and left para-pneumonic effusion consequent to pneumonia. Because conservative therapies could not resolve the inflammatory findings, simultaneous bilateral VATS decortications were performed. Both thoracic cavities had loculated pleural effusion. In contrast to the preoperative findings, white pus was found in not only the right, but also the left thoracic cavity. She had an uncomplicated postoperative course and recovered. DISCUSSION: Bilateral empyema that has developed to the fibrinopleural phase is difficult to treat with drains alone. Bilateral VATS decortications helped to make a definitive diagnosis and treat both sides simultaneously. CONCLUSION: Simultaneous bilateral VATS decortications should be considered as a feasible and effective procedure for bilateral empyema that is refractory to medical treatment. Elsevier 2014-12-05 /pmc/articles/PMC4334203/ /pubmed/25528031 http://dx.doi.org/10.1016/j.ijscr.2014.11.079 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Nose, Naohiro Anami, Toshiki Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title | Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title_full | Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title_fullStr | Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title_full_unstemmed | Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title_short | Simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
title_sort | simultaneous bilateral decortications via video-assisted thoracic surgery for bilateral empyema |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334203/ https://www.ncbi.nlm.nih.gov/pubmed/25528031 http://dx.doi.org/10.1016/j.ijscr.2014.11.079 |
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