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Hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel

100%
Ohara G., Kagohashi K., Kurishima K., Miyazaki K., Satoh H.
Open Medicine
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2013
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vol. 8
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issue 4
406-409
EN
Hemorrhagic complications are recognized when anti-platelet agents are used during or after surgical procedures. We present a 69-year-old male patient who developed hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel and aspirin following ischemic heart disease. Hemothorax associated clopidogrel has rarely been reported and this is the first academic publication of this complication type following chest tube insertion shortly after the cessation of clopidogrel. Our case demonstrates the possibility of hemothorax when chest tube insertion is indicated under such conditions.
2
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Spontaneous contralateral pneumothorax in a patient with low Body Mass Index

86%
Nakazawa K., Ohara G., Kagohashi K., Kurishima K., Ishibashi A., Satoh H.
Open Medicine
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2012
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vol. 7
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issue 6
733-735
EN
Spontaneous pneumothorax is most common in adolescents and young adults. Some of them develop contralateral pneumothorax. In this paper, we report the case of a patient with spontaneous contralateral pneumothorax, whose body mass index (BMI) was 18.8 kg/m2. For either chest physicians or thoracic surgeons, follow up with recognition of increased risk of the contralateral pneumothorax is important especially in patients with contralateral bullous lesions and low BMI.
3
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Tracheobronchial mucoid pseudotumor

86%
Itoi S., Ohara G., Kagohashi K., Kawaguchi M., Kurishima K., Satoh H.
Open Medicine
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2012
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vol. 7
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issue 3
385-387
EN
The topic of large mucoid plug of tracheobronchus simulating a tumor lacks scientific research and publication. We report such a case presenting as a pseudo-tumor in an elderly population. The plug was easily removed with a flexible bronchoscope. Microscopically, neither malignant cells nor microbial agents were present in the mucoid plug, confirming the diagnosis of a mucoid pseudotumor. If a collection of mucus, indistinguishable from a true tumor, is detected in the tracheobronchial tree particularly on CT scan, we should consider performing bronchoscopy, as such tracheobronchial mucoid pseudotumor may be distinguished from true tumors by this procedure.
4
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Successfully treated invasive pulmonary aspergillosis in a patient with diabetic ketoacidosis

86%
Kumagai R., Ohara G., Sato S., Miyazaki K., Kagohashi K., Kurishima K., Satoh H.
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EN
We report herein a case of diabetic ketoacidosis associated with invasive aspergillosis that was successfully treated with liposomal amphotericin-B (L-AMB). Early intervention after confirming the diagnosis of invasive pulmonary aspergillosis is very important, and initiating early treatment with L-AMB can lead to a full recovery.
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