Right-Sided Pleural Effusion in a Critically Ill Stroke Patient

Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient's clinical status and oxygenation improved, there was pers...

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Bibliographic Details
Main Authors: Alexander Bautista MD (Author), Michael Heine MD (Author), Victor van Berkel MD, Ph.D (Author), Lydia Kelly-Frasher M (Author), Kerri Remmel MD (Author), Ozan Akca MD, FCCM (Author)
Format: Book
Published: SAGE Publishing, 2014-02-01T00:00:00Z.
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Summary:Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient's clinical status and oxygenation improved, there was persistence of right-sided opacity in the chest radiograph. Further workup proved a right-sided pleural effusion, which was drained and managed. Following extubation, a swallow study was ordered, which led to a fluoroscopic examination that demonstrated esophageal perforation. Thoracic surgery was consulted and did a primary repair of perforation and noted non-small cell carcinoma on the perforated site.
Item Description:2324-7096
10.1177/2324709614523258