Letters to the Editor
and as in this case, also with sedation.[5] Our colleagues should be aware that tachypnea/hyperpnea, in the face of a panic attack, may be an etiologic cause of SPM. James S Papadimos, Christopher S Davis1, Thomas J Papadimos
Departments of Anesthesiology and Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
3.
4.
1
Address for correspondence:Dr. Thomas J. Papadimos, Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 west 10th Avenue, Room N417‑C Doan Hall, Columbus, Ohio, USA. E‑mail: [email protected]
5.
presenting as rhinolalia and chest pain. Ann R Coll Surg Engl 2012;94:e243‑5. Hochlehnert A, Lowe B, Bludau HB, Borst M, Zipfle S, Herzog W. Spontaneous pneumomediastinum in anorexia nervosa: A case report and review of the literature on pneumomediastinum and pneumothorax. Eur Eat Disord Rev 2010;18:107‑15. Russo A, Giangregorio C. Pneumomediastinum: An extremely rare affection. A case of deferred diagnosis. Literature review and the role of thoracic US in urgency. Ann Ital Chir 2012;83:13‑9. Alvarez ZC, Jadue TA, Rojas RF, Cerda CC, Ramirez VM, Cornejo SC. Spontaneous pneumomediastinum. Review of eight cases. Rev Med Chil 2009;137:1045‑50. Access this article online
Website: www.ijciis.org
Quick Response Code:
DOI: 10.4103/2229-5151.128023
REFERENCES 1. 2.
Singla M, Potocko J, Sanstead J, Pepper P. Ooh‑rah! An unusual cause of spontaneous mediastinum. Mil Med 2012;177:1396‑8. Breakey RW, Walker G, Oldfield W. Spontaneous pneumomediastinum
Accidental penetrating chest injury with concealed retained wooden stick: A diagnostic dilemma and management Sir, A 54‑year‑old woman reported to our hospital 2 days after accidental penetrating injury to left hemithorax after falling over wooden furniture. On clinical examination, there was no visible foreign body in chest wound. Her vitals were stable except mild dyspnea. Contrast‑enhanced computed tomography scan of chest shows a long tubular air attenuation track in the left lung field with mild pleural collection [Figure 1]. There was
a dilemma in diagnosis about retained foreign body in the chest and its nature as only air containing track was noted in computed tomography scan (CT) with average CT Hounsfield of − 360. On surgical exploration, a long wooden stick was retrieved from the depth of the wound. She was managed with proper wound care and chest tube drainage of left hemothorax. The CT attenuation of a wooden foreign body varies in relation to air content, fluid in the interstices and surface coating such as paint over the wood. Dry wooden material with high gas content may mimic gas collection.[1] The detection of retained wooden foreign bodies always remains a difficult and challenging task in spite of advanced imaging technique.[2] High index of suspicion, clinical history with imaging finding are essential for diagnosis of foreign body. Tube thoracostomy was the main treatment modality for the majority of chest injury.[3] Ranjan Kumar Sahoo, Satya Sunder Gajendra Mohapatra, Santosh Kumar Behera1
Departments of Radiodiagnosis, and 1Surgery, IMS and SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India
Figure 1: Contrast‑enhanced computed tomography scan of chest shows the suspected foreign body as a long tubular air attenuation track in the left lung field close to the left ventricle of heart with mild left hemothorax, which is better seen in thick minimum intensity projection images (bottom pictures)
92
Address for correspondence: Dr. Ranjan Kumar Sahoo, Department of Radiodiagnosis, IMS and SUM Hospital, Sector ‑ 8, Kalinga Nagar, Ghatikia, Bhubaneswar ‑ 751 003, Odisha, India. E‑mail: [email protected]
International Journal of Critical Illness and Injury Science | Vol. 4 | Issue 1 | Jan-Mar 2014
Letters to the Editor
REFERENCES 1. 2. 3.
Ho VT, McGuckin JF Jr, Smergel EM. Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol 1996;17:134‑6. Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographics 2008;28:1555‑70. Al‑Koudmani I, Darwish B, Al‑Kateb K, Taifour Y. Chest trauma experience over eleven‑year period at Al‑Mouassat University Teaching Hospital‑Damascus: A retrospective review of 888 cases. J Cardiothorac Surg 2012;7:35.
Access this article online Website: www.ijciis.org
Quick Response Code:
DOI: 10.4103/2229-5151.128025
Announcement
iPhone App A free application to browse and search the journal’s content is now available for iPhone/iPad. The application provides “Table of Contents” of the latest issues, which are stored on the device for future offline browsing. Internet connection is required to access the back issues and search facility. The application is Compatible with iPhone, iPod touch, and iPad and Requires iOS 3.1 or later. The application can be downloaded from http://itunes.apple.com/us/app/medknow-journals/ id458064375?ls=1&mt=8. For suggestions and comments do write back to us.
International Journal of Critical Illness and Injury Science | Vol. 4 | Issue 1 | Jan-Mar 2014
93
Copyright of International Journal of Critical Illness & Injury Science is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
and as in this case, also with sedation.[5] Our colleagues should be aware that tachypnea/hyperpnea, in the face of a panic attack, may be an etiologic cause of SPM. James S Papadimos, Christopher S Davis1, Thomas J Papadimos
Departments of Anesthesiology and Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
3.
4.
1
Address for correspondence:Dr. Thomas J. Papadimos, Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 west 10th Avenue, Room N417‑C Doan Hall, Columbus, Ohio, USA. E‑mail: [email protected]
5.
presenting as rhinolalia and chest pain. Ann R Coll Surg Engl 2012;94:e243‑5. Hochlehnert A, Lowe B, Bludau HB, Borst M, Zipfle S, Herzog W. Spontaneous pneumomediastinum in anorexia nervosa: A case report and review of the literature on pneumomediastinum and pneumothorax. Eur Eat Disord Rev 2010;18:107‑15. Russo A, Giangregorio C. Pneumomediastinum: An extremely rare affection. A case of deferred diagnosis. Literature review and the role of thoracic US in urgency. Ann Ital Chir 2012;83:13‑9. Alvarez ZC, Jadue TA, Rojas RF, Cerda CC, Ramirez VM, Cornejo SC. Spontaneous pneumomediastinum. Review of eight cases. Rev Med Chil 2009;137:1045‑50. Access this article online
Website: www.ijciis.org
Quick Response Code:
DOI: 10.4103/2229-5151.128023
REFERENCES 1. 2.
Singla M, Potocko J, Sanstead J, Pepper P. Ooh‑rah! An unusual cause of spontaneous mediastinum. Mil Med 2012;177:1396‑8. Breakey RW, Walker G, Oldfield W. Spontaneous pneumomediastinum
Accidental penetrating chest injury with concealed retained wooden stick: A diagnostic dilemma and management Sir, A 54‑year‑old woman reported to our hospital 2 days after accidental penetrating injury to left hemithorax after falling over wooden furniture. On clinical examination, there was no visible foreign body in chest wound. Her vitals were stable except mild dyspnea. Contrast‑enhanced computed tomography scan of chest shows a long tubular air attenuation track in the left lung field with mild pleural collection [Figure 1]. There was
a dilemma in diagnosis about retained foreign body in the chest and its nature as only air containing track was noted in computed tomography scan (CT) with average CT Hounsfield of − 360. On surgical exploration, a long wooden stick was retrieved from the depth of the wound. She was managed with proper wound care and chest tube drainage of left hemothorax. The CT attenuation of a wooden foreign body varies in relation to air content, fluid in the interstices and surface coating such as paint over the wood. Dry wooden material with high gas content may mimic gas collection.[1] The detection of retained wooden foreign bodies always remains a difficult and challenging task in spite of advanced imaging technique.[2] High index of suspicion, clinical history with imaging finding are essential for diagnosis of foreign body. Tube thoracostomy was the main treatment modality for the majority of chest injury.[3] Ranjan Kumar Sahoo, Satya Sunder Gajendra Mohapatra, Santosh Kumar Behera1
Departments of Radiodiagnosis, and 1Surgery, IMS and SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India
Figure 1: Contrast‑enhanced computed tomography scan of chest shows the suspected foreign body as a long tubular air attenuation track in the left lung field close to the left ventricle of heart with mild left hemothorax, which is better seen in thick minimum intensity projection images (bottom pictures)
92
Address for correspondence: Dr. Ranjan Kumar Sahoo, Department of Radiodiagnosis, IMS and SUM Hospital, Sector ‑ 8, Kalinga Nagar, Ghatikia, Bhubaneswar ‑ 751 003, Odisha, India. E‑mail: [email protected]
International Journal of Critical Illness and Injury Science | Vol. 4 | Issue 1 | Jan-Mar 2014
Letters to the Editor
REFERENCES 1. 2. 3.
Ho VT, McGuckin JF Jr, Smergel EM. Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol 1996;17:134‑6. Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographics 2008;28:1555‑70. Al‑Koudmani I, Darwish B, Al‑Kateb K, Taifour Y. Chest trauma experience over eleven‑year period at Al‑Mouassat University Teaching Hospital‑Damascus: A retrospective review of 888 cases. J Cardiothorac Surg 2012;7:35.
Access this article online Website: www.ijciis.org
Quick Response Code:
DOI: 10.4103/2229-5151.128025
Announcement
iPhone App A free application to browse and search the journal’s content is now available for iPhone/iPad. The application provides “Table of Contents” of the latest issues, which are stored on the device for future offline browsing. Internet connection is required to access the back issues and search facility. The application is Compatible with iPhone, iPod touch, and iPad and Requires iOS 3.1 or later. The application can be downloaded from http://itunes.apple.com/us/app/medknow-journals/ id458064375?ls=1&mt=8. For suggestions and comments do write back to us.
International Journal of Critical Illness and Injury Science | Vol. 4 | Issue 1 | Jan-Mar 2014
93
Copyright of International Journal of Critical Illness & Injury Science is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
