medigraphic.com
ISSN 1561-3186 (Electronic)

2021, Number 3

<< Back Next >>

Rev Acta Médica 2021; 22 (3)

Therapeutic approach with Monaldi technique in a bullae with hidro aereal level

Basanta BD, Pérez GK, González RPP, Torres CBL

Language: Spanish
References: 14
Page:
PDF size: 745.64 Kb.


ABSTRACT

Introduction: The bullae is defined as the air space greater than 1 cm in diameter, without epithelial wall, which can be seen in the emphysematous lung parenchyma in 80% or in the parenchyma of healthy subjects in 20%. It is a form of localized disease and does not necessarily indicate the presence of generalized emphysema. Complications that can occur include infection, pneumothorax, and bleeding. In cases of infection, an image of a thin-walled cavity with air-fluid level appears on the chest radiograph. Treatment is antibiotic therapy for a period of 6 to 8 weeks. In case of torpid evolution or lack of therapeutic response, surgical intervention could be considered.
Objective: To describe a case of an infected bulla with hidro aereal level, treated through Monaldi Technique therapeutic approach.
Case report: We report the clinical case of a patient with an infected bulla that did not respond to antibiotic treatment, therefore Monaldi technique was performed. In the literature reviewed there is little evidence of the performance of this technique in infected bullae, and it is more frequently used in lung abscesses. Given the patient's situation, as well as his functional ventilatory compromise, the therapeutic option was chosen at Hermanos Ameijeiras Surgical Clinical Hospital and the patient had satisfactory evolution.


REFERENCES

  1. Cheng Hung K, Barrera Ortega JC, Mederos Curbelo ON, Valdés Jiménez JM,Cantero Ronquillo A, Romero Díaz CA. Morbilidad y mortalidad en la cirugía delas bulas enfisematosas. Rev Cubana Cir. 2008 [acceso: 12/02/2021];47(1).Disponible en: http://scielo.sld.cu/pdf/cir/v47n1/cir09108.pdf

  2. Saínz Menéndez B. Enfisema pulmonar y bulas de enfisema. Clasificación.Diagnóstico. Tratamiento. Rev Cubana Cir. 2006 [acceso: 15/01/2021];45(3-4.)Disponible en: http://scielo.sld.cu/pdf/cir/v45n3-4/cir22306.pdf

  3. Barberá Mir JA, Cosio MG. Enfermedades obstructivas de las vías aéreas. En:Farreras Rozman, editor. Medicina interna. Madrid: Mosby-Doyma Libros, S.A.1995; p. 551-3.

  4. Clauzure M, Tomaszuk AG. Bula con nivel hidroáereo en su interior,interpretación y enfoque terapéutico. RAMR. 2019 [acceso:19/01/2021];19(3):245-7. Disponible en:http://www.ramr.org/articulos/volumen_19_numero_3/casuisticas/casuistica_bula_con_nivel_hidroaereo_en_su_interior_interpretacion_y_enfoqueterapeutico.pdf

  5. Benito Bernáldez C, Almadana Pacheco V. Regresión espontánea de una bulaenfisematosa pulmonar. Arch Bronconeumol. 2017 [acceso:16/12/2020];53(6):[aprox.2p]. Disponible en:file:///C:/Users/DR3499~1.BOR/AppData/Local/Temp/S0300289616302319.pdf

  6. Rubin EH, Buchberg AS. Capricious behavior of pulmonary bula developingfluid. Dis Chest. 1968;54:546-9.

  7. Mederos Curbelo ON, Barrera Ortega JC, Castellanos González JA, RomeroDíaz CA, Mederos Trujillo OL. Neumostomía con sonda de balón en coleccionespurulentas del pulmón. Rev Cubuna Cir. 2014 [acceso:28/02/2021];53(2):[aprox.0p.]. Disponible en:http://www.revcirugia.sld.cu/index.php/cir/article/view/188

  8. Córdoba Alonso AI, Arlabán Carpintero M, Olmos Martínez JM. Bula pulmonargigante sobreinfectada. Arch Bronconeumol. 2017 [acceso:23/11/2020];53(7):395. Disponible en:https://www.archbronconeumol.org/es-pdf-S0300289617300200

  9. Overholt RH, Langer L. Técnica de la resección pulmonar. Buenos Aires:Editorial Vergara; 1954; p. 158-97.

  10. Fuentes Valdés E. Técnica de Monaldi para el tratamiento de abscesospulmonares. Rev Cubana Cir. 2010 [acceso: 28/02/2021];49(2). Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932010000200008&lng=es

  11. Kuhajda I, Zarogoulidis K, Tsirgogianni K, Tsavlis D, Kioumis I, Kosmidis C,et al. Lung abscess-etiology, diagnostic and treatment options. Ann Transl Med.2015 [acceso: 24/07/2020];3(13):183. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4543327/pdf/atm-03-13-183.pdf

  12. Schweigert M, Solymosi N, Dubecz A, John J, West D, Boenisch PL, et al.Predictors of outcome in modern surgery for lung abscess. Thorac CardiovascSurg. 2017;65:535-41. DOI: https://doi.org/10.1055/s-0037-1598113

  13. Duncan C, Nadolski GJ, Gade T, Hunt S. Understanding the lung abscessmicrobiome: outcomes of percutaneous lung parenchymal abscess drainagewith microbiologic correlation. Cardiovasc Intervent Radiol. 2017;40:902-6.DOI: https://doi.org/10.1007/s00270-017-1623-3

  14. Maki Oh, Shohei M, Yuki N, Kato D, Ohtsuka T. Effective exchange to a largersize catheter for a lung abscess with initial percutaneous drainage failure: acase report. Surg Case Rep. 2020 [acceso: 02/02/2021];6(1):64. Disponible en:file:///C:/Users/DR3499~1.BOR/AppData/Local/Temp/Effective_exchange_to_a_larger_size_catheter_for_a.pdf




2020     |     www.medigraphic.com