Document Detail


Subarachnoid pleural fistula due to penetrating trauma: case report and review of the literature.
MedLine Citation:
PMID:  12475874     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of a 30-year-old man who developed a recurrent pleural effusion after sustaining a gunshot wound to the left side of his chest with subsequent complete paralysis at the T2 level. Subarachnoid-pleural fistulas have rarely been reported as complications of penetrating and blunt trauma, thoracic surgery, as well as spinal surgery. Concomitant injuries may overshadow or complicate the diagnosis of subarachnoid-pleural fistulas. The diagnosis should be considered in any patient with a pleural effusion that is associated with severe neurologic injury, as the fistula rarely heals without surgical intervention and may lead to CNS infection or pneumocephalus.
Authors:
Christian Lloyd; Steven A Sahn
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Chest     Volume:  122     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-11     Completed Date:  2003-01-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2252-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology, Medical University of South Carolina, 96 Jonathan LucasStreet, Suite 812, PO Box 250623, Charleston, SC 29425, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fistula / etiology*
Humans
Male
Pleural Diseases / etiology*
Pleural Effusion / etiology
Recurrence
Subarachnoid Space*
Thoracic Injuries / complications*
Wounds, Gunshot / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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