Despite repeated thoracentesis
and closed pleural biopsy, diagnosis remains uncertain in 20% PE patients.1 When thoracentesis
and closed pleural biopsy are inadequate for diagnosis, the next option in the diagnostic algorithm in exudative PE with a high suspicion index for malignancy is thoracoscopic approach.2-4 Despite thoracoscopic biopsy, specific diagnosis cannot be achieved in some patients.
KEYWORDS: Tuberculous pleuritis, Central venous catheter based closed thoracic drainage, Conventional thoracentesis
A pleural catheter is used at times when these malignant pleural effusion becomes symptomatic and recurs post thoracentesis
, majorly in the patient with trapped lung or with low to moderate life expectancy, or who underwent unsuccessful pleurodesis.
23, 2019 (HealthDay News) -- The proportion of paracentesis and thoracentesis
procedures performed by radiologists is continuing to increase, according to a study published online Aug.
Multimodal procedures including low-triglyceride diet, sclerosing agents, repeated thoracentesis
, and repeated closed thoracostomy tube drainage (bilateral) were applied for treatment within two months after surgery.
Ultrasound guided thoracentesis
one day after admission revealed exudative effusion with negative Gram stain and cultures.
One hundred and thirty five patients with cytologic diagnosis of lung cancer, with an accompanying exudative pleural effusion of which benign-malignant separation was definitively made cytologically (thoracentesis
was performed at least 2 times and in addition closed biopsy was performed) and in which biochemical tests, blood gas test and cell count were performed, were included in the study.
According to patient's statement, he suffered from caught with a lasso around the neck in a traffic accident, and as it was reported in medical records, repeated thoracentesis
procedures were performed from 5 to 6 intercostal spaces in the anterior axillary line, bilaterally.
ICFs included tube thoracostomy, endotracheal intubation, blood products transfusion, cardioversion and defibrillation, intramuscular injection, intravenous injection, closed reduction of fractures and dislocations, small surgical interventions, lumbar puncture, paracentesis, peritoneal lavage, fibrinolysis, central venous catheterization, sedation, thoracentesis
, and tracheostomy procedures.
was performed, revealing an exudate of uncertain origin.
The patient was pre-diagnosed with pleural effusion secondary to pneumonia with anamnesis, examination and lung graphy findings; thoracentesis
was performed after thorax computed tomography (CT) had been taken.