PMC8553482_01
Chest radiograph obtained at admission. The chest radiograph shows pleural effusion and diffuse infiltrative shadows.
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Chest radiography and computed tomography (CT) were performed, which led to a diagnosis of right pyothorax (Figures 1 and 2) in addition to septic shock.
Computed tomography at admission. Computed tomography scans show fluid collection in the right thoracic cavity.
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Chest radiography and computed tomography (CT) were performed, which led to a diagnosis of right pyothorax (Figures 1 and 2) in addition to septic shock.
Patient's clinical course. The patient's clinical course during extracorporeal membrane oxygenation (ECMO) is shown. His PaO2/FiO2 ratio was not favourable throughout ECMO, but his level of consciousness and circulatory dynamics were maintained.
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The patient's clinical course during ECMO is shown in Figure 3.
Adherent omental flap. The patient's omental flap is shown to be adherent on day 34 of hospitalisation.
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The air leak was resolved after surgery, and the omental flap became adherent (Figure 4).
Postoperative computed tomography on day 61 of hospitalisation. Computed tomography scans obtained on day 61 show that the omental flap was viable, and that the abscess had disappeared.
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CT performed on day 61 revealed the disappearance of the abscess and viability of the omental flap (Figure 5).
Computed tomography on day 95 of hospitalisation. Improved air flow is observed in the right lung. However, a left pneumothorax is also observed.
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On day 95, the patient was weaned from the ventilator, and CT revealed a left pneumothorax that did not affect his respiratory status (Figure 6).