TL;DR: In a series of 235 consecutive infants with respiratory distress syndrome, pneumothorax was demonstrated radiographically in 20 and the gas-containing sac appeared radiologically as a crescent-shaped lucency medial to the upper thoracic spine which was sharply delineated laterally by the mediastinal pleural layers and the somewhat atelectatic contralateral lung.
Abstract: In a series of 235 consecutive infants with respiratory distress syndrome, pneumothorax was demonstrated radiographically in 20. On anteroposterior supine chest radiographs of such infants, the intrapleural gas tends to seek an anteromedial position within the involved hemithorax. When the pneumothorax is large, the gas may cause the ipsilateral mediastinal pleura to bulge and herniate across the anterior mediastinum into the contralateral hemithorax. This was seen in 12 or the 14 right pneumothoraces, but only in two of the 10 left ones. The gas-containing sac appeared radiologically as a crescent-shaped lucency medial to the upper thoracic spine which was sharply delineated laterally by the mediastinal pleural layers and the somewhat atelectatic contralateral lung. In some patients treated with a chest tube, the gas disappeared more slowly from the herniated portion of the pleural sac than from elsewhere in the pleural space. Therefore, in addition to being a useful confirmatory sign of pneumothorax, this finding is also important in assessing the completeness of pleural drainage.
TL;DR: The specimen presented is that of a very rare anomaly, showing congenital absence of a separate pericardial sac, the heart being contained in the same serous cavity as the left lung, and presented to the department of anatomy of the University of Toronto.
Abstract: The specimen presented is that of a very rare anomaly, showing congenital absence of a separate pericardial sac, the heart being contained in the same serous cavity as the left lung. It was obtained by Dr. W. A. Burr, who was called to the city morgue to undertake the postmortem examination of a middle-aged man who had died suddenly. When the thorax was opened, Dr. Burr was surprised to find the heart and the left lung occupying a common cavity. As he realized the rarity and value of what he had found, he removed all the thoracic viscera, the diaphragm and what remained of the pleural sacs en masse and presented the specimen to the department of anatomy of the University of Toronto. REPORT OF CASE The man from whom these viscera were obtained was aged 52, of medium height and well developed. He was unmarried and lived alone and
TL;DR: Non-incisional pleurectomy/decortication is introduced as an alternative technique that does not require the opening of the pleural sac for malignant pleural mesothelioma.
Abstract: One of the potential disadvantages of conventional pleurectomy/decortication for malignant pleural mesothelioma is the need for opening the pleural sac, which might worsen survival. In this study, we have introduced non-incisional pleurectomy/decortication as an alternative technique that does not require the opening of the pleural sac.
TL;DR: In a review of 50 patients with massive pleural effusion, mediastinal herniation of the pleural sac occurred in 16 patients (32 percent), and Disappearance of herniated sac in every patient following thoracocentesis confirmed the diagnosis.
TL;DR: The use of the water manometer has made induction of pneumothorax much safer and without obtaining free manometer fluctuations, the operator is not certain that the tip of the needle lies in the pleural sac.