胸腔积液的一个难以捉摸的病因。
An elusive cause of pleural effusion.
作者信息
Saha Manish K, Hamieh Tarek
机构信息
Department of Internal Medicine, Health Partners, Saint Paul, Minnesota, USA.
出版信息
BMJ Case Rep. 2012 Aug 18;2012:bcr0120125616. doi: 10.1136/bcr-01-2012-5616.
A 32-year-old man was admitted with cerebrospinal fluid leakage from a right scalp surgical wound after a resection of recurrent meningioma and reconstruction of skull with muscle flap 3 weeks earlier. On day 4 of admission, he was found to be tachycardic and decreased breath sounds on the right side. Chest x-ray revealed a large right pleural effusion which was found to be exudative after thoracocentesis. Infectious work-up and cytology was negative. CT showed both parietal and visceral pleural masses, which was consistent with meningioma on ultrasound-guided biopsy. He underwent right-side decortication and pleurodesis for recurrent pleural effusion. He declined further treatment and opted for hospice care and expired a month later.
一名32岁男性在3周前因复发性脑膜瘤切除并采用肌瓣重建颅骨后，出现右头皮手术伤口脑脊液漏而入院。入院第4天，发现他心动过速，右侧呼吸音减弱。胸部X线显示右侧大量胸腔积液，胸腔穿刺后发现为渗出液。感染相关检查和细胞学检查均为阴性。CT显示顶叶和脏层胸膜均有肿块，超声引导下活检结果与脑膜瘤相符。他因复发性胸腔积液接受了右侧胸膜剥脱术和胸膜固定术。他拒绝进一步治疗，选择了临终关怀，一个月后去世。
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