A 71-year-old man was admitted to our medical intensive care unit for acute respiratory failure (ARF). Two months earlier, he had a right hepatectomy for hepatocellular carcinoma. A community-acquired pneumonia was suspected and the patient received antibiotics and high flow nasal oxygen therapy. A few hours later, ARF worsened owing to an episode of purulent vomica which led to non-invasive and subsequent invasive mechanical ventilation. Chest radiography (Fig. 1) and CT scan (Fig. 2) showed an air cavity in the hepatectomy compartment with a transdiaphragmatic fistula opened into the bronchopulmonary parenchyma and the right pleural cavity.
×
×
…
Anzeige
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten