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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Pneumothorax-I01:26

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
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Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
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Congenital Partial Intercostal Liver Herniation.

Bal Mukunda Basnet1, Bishnu Prasad Kandel2, Gajendra Chaudhary1

  • 1Department of Surgery, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal.

Journal of Nepal Health Research Council
|November 19, 2020
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Summary

Congenital intercostal liver herniation, a rare condition, involves liver tissue protruding through the chest wall. This case report details a rare left-sided congenital intercostal liver herniation in an infant.

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Area of Science:

  • Pediatric Surgery
  • Congenital Abnormalities
  • Medical Imaging

Background:

  • Congenital intercostal liver herniation is an exceptionally rare condition with an unknown etiology.
  • Left-sided intercostal liver herniation is even rarer, making documented cases highly significant.

Observation:

  • An eight-day-old female infant presented with a congenital defect on the left anterior chest wall, with protruding tissue since birth.
  • Sonographic and radiological imaging identified the protruding tissue as a portion of the left lobe of the liver with reduced vascularity.
  • No other congenital anomalies were detected in the infant.

Findings:

  • Surgical intervention involved laparotomy with thoracotomy to resect the non-viable herniated liver tissue and close the chest wall defect.
  • Postoperative complications included surgical site infection and wound dehiscence, managed with daily dressing and secondary suturing.

Implications:

  • This case highlights the rarity of left-sided congenital intercostal liver herniation and the importance of prompt surgical management.
  • Effective management requires a multidisciplinary approach, including surgical expertise and postoperative care to address potential complications.
  • Further research into the etiology and optimal treatment strategies for congenital intercostal liver herniation is warranted.