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Right-Sided Pleural Effusion in a Critically Ill Stroke Patient

Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persisten...

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Autores principales: Bautista, Alexander, Heine, Michael, van Berkel, Victor, Kelly-Frasher, Lydia, Remmel, Kerri, Akca, Ozan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528863/
https://www.ncbi.nlm.nih.gov/pubmed/26425594
http://dx.doi.org/10.1177/2324709614523258
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author Bautista, Alexander
Heine, Michael
van Berkel, Victor
Kelly-Frasher, Lydia
Remmel, Kerri
Akca, Ozan
author_facet Bautista, Alexander
Heine, Michael
van Berkel, Victor
Kelly-Frasher, Lydia
Remmel, Kerri
Akca, Ozan
author_sort Bautista, Alexander
collection PubMed
description Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persistence of right-sided opacity in the chest radiograph. Further workup proved a right-sided pleural effusion, which was drained and managed. Following extubation, a swallow study was ordered, which led to a fluoroscopic examination that demonstrated esophageal perforation. Thoracic surgery was consulted and did a primary repair of perforation and noted non–small cell carcinoma on the perforated site.
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spelling pubmed-45288632015-09-30 Right-Sided Pleural Effusion in a Critically Ill Stroke Patient Bautista, Alexander Heine, Michael van Berkel, Victor Kelly-Frasher, Lydia Remmel, Kerri Akca, Ozan J Investig Med High Impact Case Rep Article Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persistence of right-sided opacity in the chest radiograph. Further workup proved a right-sided pleural effusion, which was drained and managed. Following extubation, a swallow study was ordered, which led to a fluoroscopic examination that demonstrated esophageal perforation. Thoracic surgery was consulted and did a primary repair of perforation and noted non–small cell carcinoma on the perforated site. SAGE Publications 2014-02-07 /pmc/articles/PMC4528863/ /pubmed/26425594 http://dx.doi.org/10.1177/2324709614523258 Text en © 2014 American Federation for Medical Research http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Article
Bautista, Alexander
Heine, Michael
van Berkel, Victor
Kelly-Frasher, Lydia
Remmel, Kerri
Akca, Ozan
Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title_full Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title_fullStr Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title_full_unstemmed Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title_short Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
title_sort right-sided pleural effusion in a critically ill stroke patient
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528863/
https://www.ncbi.nlm.nih.gov/pubmed/26425594
http://dx.doi.org/10.1177/2324709614523258
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