NEJM: Cranial Gas Accumulation Caused by Bronchial Fistula - Case Report
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Last Update: 2020-05-30
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Source: Internet
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Author: User
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The patient, a 61-year-old man with stage 3B squamous cell carcinoma, developed epilepsy-like activity while undergoing a rephased computed tomography (CT) at the hospitalhis lung has a clear primary hollow lesions in the lower right lobe of his lungs and has been treated for three cycles of caplatinum and nanoparticles combined with albumin-based aphasiaolHe was transferred to the emergency room, where he suddenly had respiratory failure and dissonaleness, and had an emergency intubationThe head CT shows the diffuse cranial cavity (shown in Figure A)A staging CT scan of the chest revealed that the hollow lesions in the lower right lobe had formed a fistula between the bronchial tube and the left atrium (as shown in the figure B arrow)cranial cavity gas is thought to be caused by air embolism steamed by bronchial fistulaThe patient later died in the intensive care unit
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