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[Computerized tomography aspect of empyema necessitatis].

A Gamroth1, H Schmitteckert, S A Beyer-Enke

  • 1Institut für Nuklearmedizin, Deutschen Krebsforschungszentrum, Heidelberg.

Der Radiologe
|September 1, 1987
PubMed
Summary
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This report details two cases of empyema necessitatis, a rare complication. It highlights its development in patients with tuberculosis and following lung cancer surgery.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Infectious Diseases

Background:

  • Empyema necessitatis is a rare condition involving the extension of a thoracic empyema through the chest wall.
  • It can occur secondary to various thoracic pathologies, including infections and malignancies.

Observation:

  • Two distinct cases of empyema necessitatis are presented.
  • Case 1 involved a patient with a history of long-standing tuberculosis.
  • Case 2 involved a patient who had undergone a pneumonectomy for lung carcinoma.

Findings:

  • The study discusses the characteristic computer tomographic (CT) findings associated with empyema necessitatis.
  • Differential diagnosis considerations for this condition are explored, distinguishing it from other chest wall masses or infections.

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Implications:

  • Understanding the CT appearance is crucial for accurate diagnosis of empyema necessitatis.
  • This case series contributes to the literature on rare thoracic complications and their management.