Surgical Management of Chest Wall Tuberculosis

2009 ◽  
Vol 13 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Alper Gözübüyük ◽  
Berkant Özpolat ◽  
Sedat Gürkök ◽  
Hasan Çaylak ◽  
Orhan Yücel ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Pulmonary Tuberculosis ◽  
Chest Wall ◽  
Extrapulmonary Tuberculosis ◽  
Anterior Chest Wall ◽  
The World ◽  
Lateral Chest ◽  
Antituberculous Chemotherapy ◽  
Parallel Fashion

Objective: Tuberculosis remains one of the most fatal diseases in the world. Extrapulmonary tuberculosis increases in parallel fashion with the rise of incidence of pulmonary tuberculosis. Tuberculosis of the chest wall is rare. Methods: Our study retrospectively evaluated 10 patients with tuberculosis of the chest wall who were treated with surgery in addition to antituberculous chemotherapy in the last 8 years. Seven of the lesions were located on the anterior chest wall, and three of the lesions were on the lateral chest wall. Results: Surgical therapy consisted of evacuation of the cold abscess material from the cavities and wide débridement of the soft tissue planes in all patients. Partial rib resections were performed in six patients owing to costal or chondral involvement. Conclusions: Chest wall tuberculosis must be considered in the differential diagnosis of chest wall lesions, especially in endemic areas.

scholarly journals A Solitary Ventral Scapular Osteochondroma causing Pseudo-winging of Scapula: A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Eknath Pawar ◽  
Nihar Modi ◽  
Amit Kumar Yadav ◽  
Jayesh Mhatre ◽  
Sachin Khemkar ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Soft Tissue ◽  
Young Child ◽  
Chest Wall ◽  
Rare Case ◽  
Rare Presentation ◽  
Medial Border ◽  
Soft Tissue Masses ◽  
Scapular Region

Introduction: Winging of scapula is defined as a failure of dynamic stabilizing structures that anchor the scapula to the chest wall, leading to prominence of the medial border of scapula. It could be primary, secondary, or voluntary. Primary winging could be true winging due to neuromuscular causes or pseudo-winging due to osseous or soft-tissue masses. A scapular osteochondroma is a very rare presentation site and causes pseudo-winging leading to pushing away of the scapula away from the chest wall presenting as medial border prominence. Here, we are reporting a rare case of a scapular osteochondroma causing a pseudo-winging of the scapula. Case Report: A 2-year-old male child presented with painless, immobile, and non-fluctuant swelling over the left scapular region, insidious in onset and progressive in nature. On examination, a non-tender, immobile swelling was palpable with a painless and unrestricted range of motion at the shoulder joint. After evaluating radiographs and CT scan, the patient was diagnosed to have a ventral scapular osteochondroma leading to pseudo-winging of the scapula. Conclusion: Despite the rarity, a differential diagnosis of a scapular osteochondroma should be kept in mind while examining a young child presenting with a winged scapula. Keywords: Scapula, osteochondroma, pseudo-winging.

scholarly journals Integrating Osteopathic Evaluation and Treatment in a Case Report of Acute Chest Pain

2019 ◽  
Vol 29 (2) ◽  
pp. 27-30
Author(s):  
Sheldon. C. Yao
Keyword(s):  
Health Care ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Chest Wall ◽  
Financial Burden ◽  
Acute Chest Pain ◽  
Anterior Chest Wall ◽  
Patient Response ◽  
Pain Syndromes ◽  
Musculoskeletal Education

Abstract Chest pain is an emergent presentation associated with a wide differential diagnosis including cardiac, pulmonary, gastrointestinal, and musculoskeletal origins. The evaluation of acute chest pain can be costly and can be a financial burden on the health care system. Integrating osteopathic diagnosis and treatment can assist with identifying and alleviating potential musculoskeletal sources of pain. This case illustrates how applying osteopathic manipulative medicine (OMM) benefited a 61-year-old woman presenting with anterior chest wall pain. Patient response to OMM can assist physicians with better managing acute chest wall pain syndromes. Improved musculoskeletal education can potentially improve medical management of chest pain of musculoskeletal origin.

scholarly journals Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Jumpei Ono ◽  
Akira Takeda ◽  
Minekatsu Akimoto ◽  
Akira Iyoda ◽  
Yoshio Matsui ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Fascia Lata ◽  
Soft Tissue Coverage ◽  
Full Thickness ◽  
Tensor Fascia Lata ◽  
Wall Defect ◽  
Chest Wall Defect ◽  
Lateral Chest ◽  
Skeletal Reconstruction

A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects.

scholarly journals Otogenic Anterior Chest Wall Abscess: A Rare and Unique Presentation of Bezold's Abscess

2011 ◽  
Vol 3 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Arti Agrawal ◽  
Hitendra Prakash Singh ◽  
Dharmendra Kumar
Keyword(s):  
Differential Diagnosis ◽  
Chest Wall ◽  
Rare Complication ◽  
Anterior Chest Wall ◽  
Acute Mastoiditis ◽  
Common Cause ◽  
Neck Abscess ◽  
Chest Wall Abscess ◽  
Deep Neck Abscess ◽  
Upper Thoracic

ABSTRACT In the era of antibiotics, deep neck abscess is a rare complication of acute mastoiditis. Bezold's abscess, the most common cause of the otogenic deep neck abscess in preantibiotic era, is a rare complication of mastoiditis nowadays and it should be considered in the differential diagnosis of neck abscesses as well as unexplained intracranial/extracranial or upper thoracic abscesses. We report a case of 20-year old female with an abscess over anterior chest wall as a sequele of bezold's abscess which was a complication of cholesteatoma with mastoiditis.

Exploration of selected brachial plexus lesions by the posterior subscapular approach

1978 ◽  
Vol 49 (6) ◽  
pp. 872-880 ◽  
Author(s):  
David G. Kline ◽  
Joseph Kott ◽  
George Barnes ◽  
Lester Bryant
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Brachial Plexus ◽  
Chest Wall ◽  
Surgical Procedure ◽  
Anterior Chest Wall ◽  
Content Type ◽  
Nervous Structure ◽  
First Rib ◽  
Fine Print

✓ The application of an old surgical technique, previously employed for treatment of thoracic outlet syndromes, to lesions of the brachial plexus is discussed. Positioning of the patient, the surgical procedure, and selected indications for a posterior subscapular approach with resection of the first rib are discussed. The indications for the use of this approach are: proximal plexus lesions involving roots and/or trunks believed to be repairable, complicated thoracic outlet syndromes, prior anterior exploration for vascular or nervous structure disease, and progressive plexus palsy associated with damage to the soft tissue of the anterior chest wall and supraclavicular regions secondary to irradiation. The authors' experience to date with 12 such cases is presented in chart form, while five cases are presented in some detail.

scholarly journals Cerebral tuberculoma as a manifestation of paradoxical reaction in patients with pulmonary and extrapulmonary tuberculosis

2012 ◽  
Vol 03 (03) ◽  
pp. 350-354 ◽  
Author(s):  
Anirban Das ◽  
Sibes Kumar Das ◽  
Abhijit Mandal ◽  
Arup Kumar Halder
Keyword(s):  
Pulmonary Tuberculosis ◽  
Treatment Failure ◽  
Tuberculous Meningitis ◽  
Extrapulmonary Tuberculosis ◽  
Miliary Tuberculosis ◽  
Paradoxical Reaction ◽  
Tuberculosis Case ◽  
Antituberculous Treatment ◽  
Antituberculous Chemotherapy ◽  
Cerebral Tuberculoma

ABSTRACTExpansion of cerebral tuberculomas or their new appearance as a manifestation of paradoxical reaction in patients under antituberculous chemotherapy is well documented. Distinguishing paradoxical reaction from disease progression or treatment failure is an important issue in tuberculosis management. Five cases of cerebral tuberculomas are reported here as manifestations of paradoxical reaction in patients with pulmonary and extrapulmonary tuberculosis on antituberculous treatment. Case 1 and 2 had tuberculous meningitis, Case 3 had miliary tuberculosis, Case 4 had miliary tuberculosis and destructive vertebral lesions, and Case 5 had pulmonary tuberculosis. Continuation of antituberculous drugs and addition of steroids led to full recovery of all patients.

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