Trapped Lung
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A 46-year-old woman with an end-stage liver disease that was complicated by recurrent hepatic hydrothorax requiring multiple thoracenteses presented with breathlessness. Chest examination found no breath sounds on the right side. Radiography of the chest revealed a hydropneumothorax (Panel A; the arrows indicate pneumothorax, and the asterisk hydrothorax). The hydrothorax was drained with the use of a pigtail catheter, with persistent pneumothorax (Panel B, arrows). A computed tomographic scan of the chest showed trapped lung with thickened visceral pleura and no evidence of endobronchial obstruction (Panel C). A trapped lung is due to fibrous visceral pleural thickening from a chronic inflammatory process that prevents lung reexpansion. In this patient, video-assisted thoracoscopic surgery with decortication and pleurodesis was performed, with complete reexpansion of the right lung...

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Dr. j●●●●●●●n P●●●●n and 5 others like this
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