Two Cases of Pericardial and Pleural Effusions After the Nuss Procedure With Significant Response to Corticosteroid Treatment
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- Kuyama Hisako
- Department of Pediatric Surgery, Kawasaki Medical School
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- Uemura Sadashige
- Nishinomiya Watanabe Cardiovascular Center
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- Soh Hideki
- Department of Pediatric Surgery, Kawasaki Medical School
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- Yoshida Atsushi
- Department of Pediatric Surgery, Kawasaki Medical School
Bibliographic Information
- Other Title
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- Nuss法術後の非感染性心囊液貯留,胸水貯留にステロイドが奏効した2例
- Nussホウ ジュツゴ ノ ヒカンセンセイシンノウエキ チョリュウ,キョウスイ チョリュウ ニ ステロイド ガ ソウコウ シタ 2レイ
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Abstract
<p>Pericardial and pleural effusions after the Nuss procedure are relatively rare complications. In this report, we describe two cases of pericardial effusion after the Nuss procedure. Case 1 was a 15-year-old boy who presented with fever and fatigue four months after the Nuss procedure. Blood tests showed a high inflammatory response, and an enhanced chest computed tomography scan showed pericardial effusion. There were no abnormal findings around the wound. The pericardial effusion disappeared after corticosteroid administration. Case 2 was a 16-year-old girl who presented with fever and weight loss two weeks after the Nuss procedure. Blood tests showed a high inflammatory response, and echocardiography showed pericardial effusion. There were no abnormal findings around the wound. Although the pericardial effusion disappeared after steroid administration and she recovered and was discharged, she returned to the hospital because of continuous fever. Chest CT showed a left pleural effusion without a recurrence of pericardial effusion. Steroid readministration was effective and her condition improved. Corticosteroid was effective in the treatment of pericardial and pleural effusions after the Nuss procedure when the Nuss bar infections were denied.</p>
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 57 (7), 1112-1117, 2021-12-20
The Japanese Society of Pediatric Surgeons
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Details 詳細情報について
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- CRID
- 1390571948060303232
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- NII Article ID
- 130008131287
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 031902788
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed