一名患有创伤且有肺空洞结节的患者：是否应进行进一步检查？

A patient with trauma having cavitary pulmonary nodules: should further workup be pursued?

作者信息

Patel Dharmi, Kamangar Nader

机构信息

Department of Medicine, Division of Pulmonary/Critical Care, Olive View-UCLA Medical Center, UCLA David Geffen School of Medicine, Sylmar, CA, USA.

Department of Medicine, Division of Pulmonary/Critical Care, Olive View-UCLA Medical Center, UCLA David Geffen School of Medicine, Sylmar, CA, USA

出版信息

J Intensive Care Med. 2014 Sep-Oct;29(5):302-5. doi: 10.1177/0885066613503277. Epub 2013 Sep 9.

DOI:10.1177/0885066613503277

PMID:24019299

Abstract

BACKGROUND

Traumatic pulmonary pseudocysts (TPPs) are rare sequelae of blunt chest trauma and may be incidentally visualized on initial, or subsequent, chest imaging.

CASE

We present the case of a 37-year-old male with no past medical history, who was recently hospitalized in the intensive care unit after a motor vehicle accident and referred to our institution for a traumatic cataract repair. His preoperative chest radiograph revealed multiple left-sided pulmonary nodules that were confirmed on thoracic computed tomography (CT) and noted to be cavitary. Comparison of the films to prior imaging, negative infectious workup, and absence of any symptoms led to the diagnosis of TPPs. Follow-up imaging showed complete resolution of the lesions.

CONCLUSION

The TPPs may be discovered on imaging shortly after blunt chest trauma and, in asymptomatic individuals, can often be monitored with observation and serial imaging.

摘要

背景

创伤性肺假性囊肿（TPPs）是钝性胸部创伤罕见的后遗症，可能在初次或后续胸部影像学检查时偶然发现。

病例

我们报告一例37岁男性，既往无病史，近期在机动车事故后入住重症监护病房，并因外伤性白内障修复转诊至我院。他术前的胸部X线片显示左侧多个肺结节，胸部计算机断层扫描（CT）证实为空洞性。将这些片子与之前的影像学检查对比、感染检查结果为阴性且无任何症状，从而诊断为TPPs。随访影像学检查显示病变完全消退。