Romero Carlos, Varon Daryelle S, Surani Salim, Varon Joseph
Dorrington Medical Associates, Houston, TX, USA.
Universidad Autónoma de San Luis Potosi, San Luis Potosi, Mexico.
Respir Med Case Rep. 2018 Jan 12;23:96-97. doi: 10.1016/j.rmcr.2018.01.003. eCollection 2018.
We present the case of a 61-year-old gentleman with history of stage IV esophageal cancer presented to the emergency department with the complaints of dyspnea on exertion and cough of 1-month duration. Patient had undergone resection of distal esophagus 4 years' prior this admission. Chest radiograph revealed a large right pleural effusion and, a computed tomography scan of the chest revealed a portion of the effusion herniating between the ribs in the right hemithorax. Thoracentesis was performed with improvement in patient's dyspnea and overall condition. Patient was doing better and asymptomatic on his 3-month follow-up. Inadequate closure after surgical procedure can lead to presentation of a lung herniation. This can appear immediately after or many years later. Video-assisted thoracoscopy has been attributed to post-operative presentation of thoracic hernias when compared to more extensive operative procedures.
我们报告一例61岁男性患者，有IV期食管癌病史，因劳力性呼吸困难和持续1个月的咳嗽到急诊科就诊。患者在此次入院前4年接受了远端食管切除术。胸部X线片显示右侧大量胸腔积液，胸部计算机断层扫描显示部分积液经右半胸肋骨间疝出。进行了胸腔穿刺术，患者的呼吸困难和整体状况有所改善。患者在3个月的随访中情况较好且无症状。手术操作后关闭不充分可导致肺疝形成。这种情况可在术后立即出现或多年后出现。与更广泛的手术操作相比，电视辅助胸腔镜检查被认为与术后胸壁疝的发生有关。
