Mizuno Y, Iwata H, Shirahashi K, Matsui M, Takemura H
Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, Gifu, Japan.
Prague Med Rep. 2012;113(4):303-208. doi: 10.14712/23362936.2015.15.
Pneumothorax, defined as the presence of air in the pleural space, is usually classified as spontaneous or traumatic; it is unusual for pneumothorax to be categorized as being acute or chronic. Even if conservative treatment is chosen, the pneumothorax is cured when air in the pleural space dissolves into the venous blood. A 50-years-old Japanese man with no prior medical history was referred to our department with a right pneumothorax and two rightsided pulmonary nodules on chest X-ray and CT. The chest radiographs of past mass screening which was taken four years ago showed right pneumothorax and right-sided pulmonary nodules. From then, all chest radiograph and chest computed tomography showed right pneumothorax and pulmonary nodules. But he underwent no medical interventions. We designed to perform an operation for a treatment of right pneumothorax and the diagnosis of pulmonary tumors. We underwent right upper lobectomy and pleural decortication under video assisted thoracic surgery. We obtained pathological diagnosis of inflammatory pseudotumor and surrounding atelectasis. He was cured from pneumothorax and pulmonary tumors. A unique case of spontaneous pneumothorax presenting with a pleural air space that was confirmed by chest radiographs and computed tomography examinations over a 4-year period is reported.
气胸被定义为胸膜腔内存在气体，通常分为自发性或创伤性；将气胸归类为急性或慢性并不常见。即使选择保守治疗，当胸膜腔内的气体溶解于静脉血中时，气胸也会治愈。一名50岁无既往病史的日本男性因右侧气胸以及胸部X线和CT显示的两个右侧肺结节被转诊至我科。四年前进行的既往大规模筛查胸部X线片显示右侧气胸和右侧肺结节。从那时起，所有胸部X线片和胸部计算机断层扫描均显示右侧气胸和肺结节。但他未接受任何医学干预。我们计划进行手术以治疗右侧气胸并诊断肺部肿瘤。我们在电视辅助胸腔镜手术下进行了右上叶切除术和胸膜剥脱术。我们获得了炎性假瘤及周围肺不张的病理诊断。他的气胸和肺部肿瘤均已治愈。本文报告了一例独特的自发性气胸病例，在4年期间经胸部X线片和计算机断层扫描检查证实存在胸膜腔积气。
