Información de la revista
Vol. 48. Núm. 5.
Páginas 305-306 (mayo 2024)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Visitas
489
Vol. 48. Núm. 5.
Páginas 305-306 (mayo 2024)
Images in Intensive Medicine
Acceso a texto completo
Point of care lung ultrasound diagnosis of concomitant lung abscess and pleural empyema due to a bronchopleural fistula
Diagnóstico ecográfico pulmonar de absceso pumonar y empiema pleural concomitantes debido a una fístula broncopleural
Visitas
489
Adrien Rivory
Autor para correspondencia
Adrien.rivory@ap-hm.fr

Corresponding author.
, Gary Duclos, Laurent Zieleskiewicz
Department of Anesthesiology and Intensive Care, AP-HM, Nord Hospital, Marseille, France
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A 41-year-old male patient was admitted following a hypoxic cardiac arrest with a tooth aspiration in the right lower lobe, which was removed using a rigid bronchoscope. Despite appropriate antibiotic treatment for pneumonia, the patient developed a sepsis. Point-of-care ultrasound (POCUS) revealed a lung abscess (LA) associated to a pleural empyema (PE). On parasagittal section (Fig. 1 A), lung ultrasound showed a right lower lobe abscess appearing as a rounded anechoic image above the diaphragm, with suspended microbubbles (air content). Condensed lung parenchyma (CL) was observed around the structure. Behind it was another collection with smooth margins, a lenticular wall attached to the pleura, which appeared to be pleural empyema. The association of a LA with PE suggested the existence of bronchopleural fistula. A subsequent chest computed tomography scan confirmed this diagnosis, with transverse (B) and parasagittal (C) sections (Fig. 1).

Figure 1
(0.28MB).
Assistance with the letter

None.

Financial support and sponsorship

None.

Conflicts of interest

LZ received fees from GE healthcare for ultrasound teaching to GEH customers. AR and GD declare that they have no competing interest.

Copyright © 2024. Elsevier España, S.L.U. y SEMICYUC
Descargar PDF
Idiomas
Medicina Intensiva
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?