Shibasaki I, Kase K, Ohtsuka A, Nakayama M
Department of Surgery, Saiseikai Utsunomiya Hospital, Japan.
Kyobu Geka. 1999 Jun;52(6):512-5.
We report a rare case of pulmonary arteriovenous malformation (PAVM) with cerebellar abscess. The patient was 38-year-old woman who admitted to the local hospital for headache and fever. Subsequently, her condition became critical with consciousness disturbance, and hypoxemia. Brain computed tomography (CT) and chest CT revealed cerebellar abscess and PAVM. She was referred to our hospital for the surgery. Pulmonary angiography demonstrated multiple pulmonary arteriovenous fistulas in the right middle lobe and a single nodular pulmonary arteriovenous fistula in the right S8 (10 x 10 mm). After the drainage for the brain abscess, lobectomy of the right middle lobe and the excision of the nodal fistula in the right S8 were successfully performed in the two-staged operation. The patient has done well with no complication and her hypoxemia was improved.
我们报告一例罕见的伴有小脑脓肿的肺动静脉畸形(PAVM)病例。患者为一名38岁女性,因头痛和发热入住当地医院。随后,她的病情因意识障碍和低氧血症而变得危急。脑部计算机断层扫描(CT)和胸部CT显示小脑脓肿和PAVM。她被转诊至我院接受手术治疗。肺血管造影显示右中叶有多个肺动静脉瘘,右S8有一个单个结节状肺动静脉瘘(10×10毫米)。在对脑脓肿进行引流后,分两期成功进行了右中叶肺叶切除术和右S8结节状瘘切除术。患者恢复良好,无并发症,低氧血症得到改善。