China
Africa
Explore chapters and articles related to this topic
Thorax
Published in Bobby Krishnachetty, Abdul Syed, Harriet Scott, Applied Anatomy for the FRCA, 2020
Bobby Krishnachetty, Abdul Syed, Harriet Scott
Visceral pleura is supplied by the bronchial arteries and drains into the pulmonary veins. Parietal pleura gets its supply from systemic capillaries including intercostal, pericardiophrenic, musculophrenic and internal mammary vessels. Venous drainage is via the intercostal veins and azygos veins, finally draining into the SVC and IVC.
Pulmonary
Published in Marsha A. Elkhunovich, Tarina L. Kang, Courtney Brennan, Kathryn Pade, Rashida Campwala, Jessica Rankin, Kristin Berona, Courtney Brennan, Pediatric Emergency Ultrasound, 2020
Marsha A. Elkhunovich, Tarina L. Kang, Courtney Brennan, Kathryn Pade, Rashida Campwala, Jessica Rankin, Kristin Berona, Courtney Brennan
Pleural sliding Movement of the visceral pleura against parietal pleura with the respiratory cycle.
The Lung and the Pleura
Published in E. George Elias, CRC Handbook of Surgical Oncology, 2020
Clinically, benign mesotheliomas usually arise from the visceral pleura, remain localized and asymptomatic. However, if they become symptomatic, they can cause local symptoms but more often they may cause systemic manifestation in the form of fever and/or arthralgia. These tumors are resectable with complete disappearance of these symptoms.
Endometriotic lung cyst causing catamenial hemoptysis; a case report and review of literature
Published in Acta Chirurgica Belgica, 2022
Evelyne Verhulst, Celine Bafort, Carla Tomassetti, Albert Wolthuis, Didier Bielen, Johan Coolen, Birgit Weynand, Lieven Platteeuw, Christel Meuleman, Dirk Van Raemdonck
Surgery is recommended for refractory or recurrent thoracic endometriosis and provides radical relief [2,8]. There are multiple treatment modalities depending upon the location and characteristics of identified lesions. CO2-laser, bipolar diathermy and Nd-YAG laser are treatment options for TES characterized by superficial endometriotic implants [2,18]. In the case of deeper implants, excision using sharp dissection is the treatment of choice. For infiltrative parenchymal nodules or large lesions, treatment options are wedge resection, (sub-)segmental resection, or in rare cases lobectomy [19,20]. Pleurodesis is an effective treatment in the case of a catamenial pneumothorax (mechanically with pleural abrasion or chemically with talc) [2], but this may often lead to recurrent and symptomatic loculated basal pneumothorax as a result of missed (and not repaired) or recurrent diaphragmatic fenestrations in our experience. Surgical reintervention then becomes more difficult with the need for pleural adhesiolysis of the lung now being less compliant to completely fill the thoracic cavity as a result of the thickened and scarred visceral pleura.
Bilateral pneumatoceles resulting in spontaneous bilateral pneumothoraces and secondary infection in a previously healthy man with COVID-19
Published in Baylor University Medical Center Proceedings, 2021
Piruthiviraj Natarajan, James Skidmore, Olufemi Aduroja, Vamsi Kunam, Dan Schuller
Acute or chronic lung infection, mechanical ventilation, lung trauma, or aspiration of certain hydrocarbons can result in pneumatoceles.8 In COVID-19 pneumonia, late development of multiple pneumatoceles with rupture causing bilateral pneumothoraces, pneumomediastinum, and subcutaneous emphysema is a rare complication, particularly in patients who did not require positive pressure ventilatory support.9 Lung compliance is severely affected after COVID-19 pneumonia, and patients with lower compliance were found to have higher mortality rates.5 As seen in our patient, the development of pulmonary necrosis leading to pneumatoceles or cavitary lung lesions can cause hemoptysis, and if disruption of the visceral pleura occurs can result in life-threatening pneumothoraces. About 85% of all patients with pneumatoceles recover spontaneously, whereas some critically ill patients warrant surgical resection.2,6 Our patient was treated successfully with a prolonged course of IV and oral antimicrobial therapy, consistent with standard treatment recommendations for lung abscess.7
Risk factors associated with fetal pleural effusion in prenatal diagnosis: a retrospective study in a single institute in Southern China
Published in Journal of Obstetrics and Gynaecology, 2020
Xin Yang, Dan Yang, Qiong Deng, Fu Fang, Jin Han, Li Zhen, Dongzhi Li, Can Liao
Fetal pleural effusion is a rare condition with an incidence of approximately 1 in 15,000 newborns (Longaker et al. 1989). It mainly refers to an accumulation of fluid in the pleural space, which exists between the parietal pleural of the chest wall and the visceral pleura of the lung. The prognosis of fetal pleural effusion is difficult to predict with various perinatal mortality rates between 22 and 53% (Weber and Philipson 1992 ; Aubard et al. 1998; Klam et al. 2005). The aetiology of fetal pleural effusion includes chromosomal abnormality, congenital heart disease, congenital infections and a number of genetic syndromes (Bellini et al. 2013; Ruano et al. 2011; Rustico et al. 2007). It has been reported that about 41 to 80% of foetuses with pleural effusion are identified with chromosomal abnormalities (Waller et al. 2005), but most of these cases were diagnosed in the first trimester. For those cases which were in the second or third trimester, the aneuploidy rates only ranged from 3.2 to 5.8% (Hashimoto et al. 2003). The aim of this study was to analyse the factors associated with a fetal pleural effusion in a single institute in the South of China.