title: Tuwo cases of empyema necessitatis--experience and management.
abstract: Two patients were admitted in the paediatric ward with the complaints of fever, cough, loss of appetite and swelling of the chest wall. Both the patients were subjected to a thorough clinical examination with needle aspiration and routine investigations like haemogram, Mantoux test, chest x-ray, computerised tomography scanning of the thorax. Both the patients were diagnosed as cases of empyema necessitatis. The first case had a burst chest wall on the second day of admission and underwent chest intercostal drainage. Later on, thoracotomy, decortication and reconstruction of the chest wall was done. The second patient had got chest drainage and there was no burst chest wall. No thoracotomy was done. Both the patients were discharged after full recovery without antituberculosis therapy.
authors.affiliation: Department of Surgery, Regional Institute of Medical Sciences, Imphal 795004.
authors.forename: Ksh Kala
authors.initials: KK
authors.lastname: Singh
authors.forename: Laitonjam
authors.initials: L
authors.lastname: Chinglensana
authors.forename: Thokchom Gojendra
authors.initials: TG
authors.lastname: Singh
authors.forename: Ng
authors.initials: N
authors.lastname: Shuradhaja
authors.forename: Gaininglulu
authors.initials: G
authors.lastname: Kamei
mesh_terms: D001707:Biopsy, Needle; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D016724:Empyema, Pleural / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed