One year following pain onset, she began to present paresis of the right hand. The patient was depressed, having been under psychiatric treatment for seven years. Physical examination presented cervical muscle contracture, palmar muscle atrophy with weakened grasp movement and sensory alteration in the same region. The results of Adson's test, military posture and Ross test were positive. The patient was therefore diagnosed with a clinical profile consistent with thoracic outlet syndrome.Electroneuromyography revealed decreased amplitudes in the sensory conduction of the right ulnar nerve, as well as in the motor conduction of the right ulnar and median nerves, conduction block of the right ulnar nerve at elbow level and reinnervation at the C8-T1 level. The motor conduction speed of the right ulnar nerve was 66.7 m/s below elbow level and 47.6 m/s above elbow level.A Doppler ultrasound of the elevated right upper limb revealed significant compression of
IntroductionThe supraclavicular approach to surgical treatment of thoracic outlet syndrome is frequently used, since it presents a high rate of therapeutic success and a low risk of complications.(1,2) Brachial plexus lesion and vascular lesions are the most frequent complications. (1,(3)(4)(5) Chylothorax as a complication of this surgical procedure is rare, (6,7) and, if occurring, is normally left-sided.(8) Its incidence ranges from 0.25% to 0.5%, even in general thoracic surgery.(8) Here, we report a case of chylothorax occurring after resection of a right cervical rib and of the right first rib. The chylothorax was successfully treated through an additional surgical procedure.
Case reportA 25-year-old female patient, a seamstress having worked in a shoe factory for seven years, was referred to our facility for investigation of a two-year history of progressive pain in the right wrist, accompanied by local paresthesia.
AbstractChylothorax as a complication of the surgical treatment of thoracic outlet syndrome is a quite rare event. We report a case of right-sided chylothorax and present a brief review on the treatment of postoperative chylothorax.Keywords: Chylothorax; Thoracic outlet syndrome; Cervical rib syndrome; Postoperative complications.
ResumoA fístula linfática como complicação de correção de síndrome do desfiladeiro torácico é um evento muito raro. Relatamos um caso de fístula linfática à direita e apresentamos uma breve revisão do tratamento de quilotórax pós-cirúrgico.Descritores: Quilotórax; Síndrome do desfiladeiro torácico; Síndrome da costela cervical; Complicações pós-operatórias.
Neuroendocrine tumors (NETs) are epithelial neoplasms with predominant neuroendocrine differentiation that arise in most organs of the body. Neuroendocrine tumors of the thymus (tNET) and mediastinum are very uncommon. We report the case of a 49-year-old male patient with neuroendocrine tumor of the thymus, superiorly in the anterior mediastinum, asymptomatic of the respiratory tract presenting with epigastric pain, treated with the lesion's surgical resection en bloc associated with radiotherapy and chemotherapy.
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