Takenaka Tomoyoshi, Katsura Masakazu, Shikada Yasunori, Furuya Kiyomi, Takeo Sadanori
Department of Thoracic Surgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan.
J Bronchology Interv Pulmonol. 2012 Apr;19(2):159-61. doi: 10.1097/LBR.0b013e31824f5a99.
We report a case of successful removal of a pulmonary foreign body (gauze) using 3-dimensional computed tomography (CT) with virtual bronchoscopy. A 70-year-old woman underwent thoracic surgery for tuberculosis approximately 35 years ago. In 2011, she presented with chronic cough and intermittent fever. A chest CT revealed a soft tissue mass measuring approximately 4.5 cm in diameter in the right residual lower lobe of the lung. On the basis of the chest CT, a foreign body was suspected. The foreign body could not be identified under conventional bronchoscopy because of the presence of multiple bronchial stenoses due to chronic inflammation. Therefore 3-dimensional CT with virtual bronchoscopy was performed to detect the exact location of the foreign body. The foreign body was successfully removed during the navigation, and her symptoms disappeared rapidly.
我们报告了一例使用三维计算机断层扫描（CT）及虚拟支气管镜成功取出肺部异物（纱布）的病例。一名70岁女性大约35年前因肺结核接受了胸外科手术。2011年，她出现慢性咳嗽和间歇性发热。胸部CT显示右肺下叶残留部分有一个直径约4.5厘米的软组织肿块。基于胸部CT，怀疑有异物。由于慢性炎症导致多处支气管狭窄，在传统支气管镜检查下无法识别异物。因此，进行了三维CT及虚拟支气管镜检查以确定异物的确切位置。在导航过程中成功取出异物，她的症状迅速消失。
