Mogi Akira, Kosaka Takayuki, Yamaki Ei, Kuwano Hiroyuki
Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Ann Thorac Cardiovasc Surg. 2012;18(5):465-7. doi: 10.5761/atcs.cr.11.01728. Epub 2012 Feb 29.
A 31-year old female with anorexia nervosa was referred to the Department of General Surgical Science at Gunma University for a surgical resection of a pulmonary aspergilloma. The patient had received treatment for anorexia nervosa at the Department of Psychiatry of the Hospital of Gunma University Graduate School of Medicine. A chest radiograph showed an infiltrative shadow with apical pleural thickening in the left upper lung field. A contrast enhanced computed tomography showed an irregular mass shadow with cavity formation that involved spherical clusters in the left upper lobe. The patient was diagnosed with pulmonary aspergilloma by serological studies and radiological features. A pulmonary segmentectomy of the left apical segment (S1 + 2) through a lateral thoracotomy was successfully performed. She had an uneventful postoperative recovery, and the final histopathological examination confirmed the diagnosis of pulmonary aspergilloma. This is a rare case study of a young female patient with anorexia nervosa who developed pulmonary aspergilloma.
一名31岁的神经性厌食症女性患者被转诊至群马大学普通外科学系，接受肺曲菌球切除术。该患者曾在群马大学医学院附属医院精神科接受过神经性厌食症治疗。胸部X光片显示左上肺野有浸润性阴影伴胸膜增厚。增强计算机断层扫描显示左上叶有不规则肿块阴影伴空洞形成，其中有球形团块。通过血清学检查和影像学特征，该患者被诊断为肺曲菌球。通过侧胸壁切口成功实施了左肺尖段（S1 + 2）肺段切除术。她术后恢复顺利，最终组织病理学检查确诊为肺曲菌球。这是一例患有神经性厌食症并发展为肺曲菌球的年轻女性患者的罕见病例研究。
