Current Thoracic Surgery

Published by Current Thoracic Surgery

Print ISSN: 2548-0316


What covid-19 brings with: incidental solitary pulmonary nodules
  • Article

January 2022


6 Reads


Hasan Tartar

Figure 1. Radiological examinations of case 1, (a) peripheral consolidations and ground-glass opacities in bilateral lungs, more pronounced on the right, (b) pneumothorax in the right hemithorax, (c) expansion defect after tube thoracostomy.
Figure 2. The combined use of traditional drainage bottles to prevent virus spread. The first bottle is connected to a second bottle with a hose. One bottle contains 70% ethyl alcohol and the other bottle contains 10% concentration NaOCl. A viral/bacterial filter has also been added to the air cannula of the last bottle.
Figure 3. Radiological examinations of case 2, (a) Peripheral consolidations and ground-glass opacities in bilateral lungs, (b) pneumothorax in the right hemithorax, (c) early chest x-ray after tube thoracostomy.
Management of pneumothorax in covid-19 pandemic: a report of two cases
  • Article
  • Full-text available

January 2020


118 Reads

Although the information increases about the lung damage and radiological findings of SARS-CoV-2 disease day by day, the development of pneumothorax has been reported as a very rare finding, and our information is limited with a few case reports. Here we present a 54-year-old male and a 71-year-old female patient, who were diagnosed spontaneous pneumothorax while they were treating for SARS- CoV-2 pneumonia. A tube thoracostomy performed to each patient for the treatment of pneumothorax. While one case treated with tube thoracostomy successfully prolonged air leak, developed in other patient. Spontaneous pneumothorax should be kept in mind as a differential diagnosis when a sudden hypoxia finding developed in respiratory parameters of patients with SARS-CoV-2. Additional measures also should be taken for these patients during treatment with tube thoracostomy.

Abdominothoracic fistulas due to complicated echinococcosis: surgical treatment and outcome

January 2023


4 Reads

Abdominothoracic fistulas due to complicated Echinococcosis: surgical treatment and outcome Yekta Altemur Karamustafaoglu1,Fazlı Yanık1,Yener Yoruk1 1Department of Thoracic Surgery, Trakya University, Faculty of Medicine, Edirne, Turkey DOI : 10.26663/cts.2023.0017 Viewed : 550 - Downloaded : 155 Background: Abdominothoracic fistulas are severe complications of hydatid disease. We report here on the results of treatment of hydatid abdominothoracic fistulas in 17 patients. Material and Methods: A single-center case series of 17 patients with abdominothoracic fistulas (ATF) was treated at our hospital from 2004 and 2019. Nine men and eight women patients (age range: 46-85 years; median age: 59 years) were treated for abdominothoracic fistulas (ATF). The main symptoms were dyspnea, chest pain, cough, purulent sputum, high fever in 15 patients and additionally biliptysis in two patients. Fistulas were hepatopleural (HPF) in 14, bronchobiliary (BBF) in two and abdominopleural in one patient. Results: Fourteen patients were operated for HPF and 3 (18%) patients were treated with percutaneous transhepatic drainage and tube thoracostomy. All patients were discharged from the hospital in good health. Our strategy consisted of adequate evacuation of the intrahepatic cyst,closure of the fistula via thoracophrenotomy and long term drainage of the intrahepatic or subhepatic cyst space up to ceased biliary drainage. Conclusions: ATF due to hydatid cyst is uncommon. In rare cases ATF may be present at the abdominal,thoracic or diaphragmatic level. Thoracophrenotomy is the best surgical treatment for all three levels.In unstable patients only long-term percutaneous drainage should be applied. Medical treatment with Albendazole is indicated when dissemination is confirmed. Early diagnosis and management of septic associated complications are main goal. Keywords : abdominopleural fistula, complication, cyst hydatid

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