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Endoscopic Studies II: Thoracocentesis

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Description
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In vivo Measurement of the Mouse Pulmonary Endothelial Surface Layer
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Roundworm in a chest drain.

Saurav Chakravartty1, Krishnendu Maiti

  • 1Department of Surgery, Medical College, Kolkata, India.

The Indian Journal of Surgery
|October 4, 2011
PubMed
Summary
This summary is machine-generated.

A stab injury led to a rare case where roundworms migrated from the stomach, through a diaphragmatic tear, into the chest cavity. Surgical repair was successful, and the patient recovered well from this unusual parasitic migration.

Keywords:
Diaphragmatic injuryRoundworm chest drain

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Area of Science:

  • Medical Case Report
  • Parasitology
  • Trauma Surgery

Background:

  • A 19-year-old male presented with a stab wound to the epigastric region.
  • Initial assessment included a chest x-ray revealing left-sided opacities and fundic gas in the left hemithorax.

Purpose of the Study:

  • To report an extremely rare case of parasitic migration following abdominal trauma.
  • To highlight the diagnostic and management challenges of unusual complications in emergency medicine.

Main Methods:

  • Diagnostic imaging (chest x-ray) to identify abnormalities.
  • Exploratory laparotomy for surgical intervention.
  • Identification of roundworms within the chest tube and pleural cavity.

Main Results:

  • A diaphragmatic tear and gastric laceration were discovered during laparotomy.
  • Multiple roundworms were found to have migrated from the stomach into the left hemithorax.
  • Successful surgical repair of the diaphragmatic and gastric injuries was performed.

Conclusions:

  • This case underscores the potential for unusual complications, including parasitic migration, following penetrating abdominal trauma.
  • Prompt surgical intervention is crucial for managing diaphragmatic injuries and associated visceral damage.