intracellulare, and we arrived at a diagnosis of secondary pyopneumothorax
caused by M.
was present in 22 cases (15.5%) and pneumatocele(s) in 9 (6.3%).
The following aims were kept in view during the study of Pyopneumothorax
: (1) To know the age and sex incidence.
Computed tomography of the thorax revealed right sided pyopneumothorax
with collapse consolidation of underlying lung parenchyma (Fig.
patients): bronchopleural fistula (3), pyopneumothorax
(2), pneumatoceles (4), lung abscess (1), mechanical ventilation >48 h (2), severe anemia requiring blood transfusion (2), severe hypoalbuminemia requiring seroalbumin replacement (1).
However, the patient developed pyopneumothorax
on right side and needed thoracotomy and decortication.
Chest X-Ray PA view showing Left-Sided Pyopneumothorax
Twenty five randomly selected cases from the admissions of Empyema thoracis or pyopneumothorax
in Pulmonary Department of Govt.
Similarly uniloculated empyema was found to be highly significant than multiloculated empyema (uniloculated: multiloculated = 25/33: 8/33 with p <0.05); 29% cases of empyema were associated with pyopneumothorax
and 62% of cases had underlying lung parenchymal disease, out of which PTB was 76% (47/62).
The commonest complication associated in these patients was pyopneumothorax
(16%) as shown in Fig 2.
STUDY METHODS: The study includes children diagnosed to have empyema or pyopneumothorax
in pediatric wards of Govt.
Here we report a rare case of Left sided BH in adult which caused pyopneumothorax
and also pleural thickening, a late complication due to barium from intrathoracic incarceration and perforation of the stomach (fundus).