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Related Experiment Video

Updated: Dec 13, 2025

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

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Lung Necrosis After Paraffin Aspiration.

Ana Rita Costa1, João Silva1, Rita Barata1

  • 1Cardiothoracic Surgery Department, Santa Marta Hospital, CHULC, Lisbon, Portugal.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|July 25, 2020
PubMed
Summary

Fire breather's lung, a rare hydrocarbon aspiration injury, typically resolves with conservative care. However, this case demonstrates that pulmonary resection may be necessary for severe complications like necrosis and abscess, ensuring favorable outcomes.

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Area of Science:

  • Pulmonology
  • Toxicology
  • Thoracic Surgery

Background:

  • Fire breather's lung is a rare condition resulting from hydrocarbon aspiration.
  • Previous case reports indicate successful conservative treatment.
  • Pulmonary resection for this condition has not been previously documented.

Observation:

  • A 35-year-old female trapeze artist experienced accidental liquid paraffin aspiration.
  • Symptoms included persistent fever and elevated inflammatory markers.
  • Standard treatment with antibiotics and bronchoscopy yielded no improvement.

Findings:

  • Computed tomography revealed middle lobe necrosis and abscess formation.
  • Surgical intervention via middle lobectomy was performed for infection control.

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  • The patient experienced an uneventful postoperative recovery.

    • Implications:

    • This case highlights the potential role of pulmonary resection in managing severe fire breather's lung.
    • Surgical intervention may be crucial when conservative medical therapy fails.
    • Resection of necrotic lung tissue can prevent life-threatening consequences.