Asunto(s)
Quistes/congénito , Errores Diagnósticos , Electrocardiografía , Esófago/anomalías , Pericarditis/diagnóstico , Absceso/complicaciones , Absceso/microbiología , Absceso/cirugía , Dolor en el Pecho/etiología , Quistes/diagnóstico , Quistes/diagnóstico por imagen , Quistes/microbiología , Quistes/cirugía , Trastornos de Deglución/etiología , Esófago/diagnóstico por imagen , Esófago/cirugía , Femenino , Humanos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Pericarditis/diagnóstico por imagen , Infecciones Estafilocócicas/complicaciones , Infecciones Estafilocócicas/cirugía , Toracotomía , Ultrasonografía , Adulto JovenRESUMEN
Our patient, a resident of Arkansas, presented with a solitary pulmonary nodule for lung resection to rule out primary lung cancer. However, pathologic examination showed the lung nodule to be a granuloma secondary to dirofilariasis. Human pulmonary dirofilariasis is a rare zoonotic disease caused by Dirofilariasis immitis (dog heartworm) that is usually transmitted from dogs to human by mosquito bite. To our knowledge, human pulmonary dirofilariasis has previously not been reported in Arkansas. In addition, awareness of this entity in the appropriate clinical and epidemiologic setting is important in the differential diagnosis of solitary pulmonary nodules.
Asunto(s)
Dirofilariasis , Enfermedades Pulmonares Parasitarias , Arkansas , Dirofilariasis/patología , Dirofilariasis/cirugía , Humanos , Enfermedades Pulmonares Parasitarias/patología , Enfermedades Pulmonares Parasitarias/cirugía , Masculino , Persona de Mediana EdadRESUMEN
This case report details our experience in the management of an iatrogenic perforation that recurred after two surgical repairs. A self-expanding coated stent was eventually placed to seal the esophageal perforation with significant improvement in the clinical condition of the patient. At 1-year follow-up, the patient is tolerating an oral diet with no evidence of esophageal leak or gastroesophageal reflux. This case report and a literature review suggest that self-expanding coated stents may be a useful salvage option in the management of inveterate nonmalignant esophageal perforations.