Yamanashi Keiji, Shoji Tsuyoshi, Ueda Yuichiro, Huang Cheng-Long
Respiratory Disease Center, Tazuke Kofukai Foundation, Medical Research Institute, Kitano Hospital, Osaka, Japan.
BMJ Case Rep. 2014 Dec 17;2014:bcr2014206697. doi: 10.1136/bcr-2014-206697.
We report the case of a 70-year-old woman with a surgically treated pulmonary sclerosing haemangioma that clinically and radiologically mimicked a thrombosed pulmonary artery aneurysm. She underwent intravenous thrombolytic therapy because of acute pulmonary embolism in the bilaterally segmental arteries. The pulmonary embolism had almost disappeared except for a nodular lesion in the middle lobe branch of the pulmonary artery, and a thrombosed pulmonary artery aneurysm with thrombus was suspected in the CT image. The patient underwent a video-assisted thoracoscopic middle lobectomy. The final pathological diagnosis was sclerosing haemangioma. She had experienced no recurrence for 1 year after surgery, and we continue to take great care during her follow-up.
我们报告了一例70岁女性患者，其患有经手术治疗的肺硬化性血管瘤，在临床和放射学上与血栓形成的肺动脉瘤相似。由于双侧节段性动脉急性肺栓塞，她接受了静脉溶栓治疗。除肺动脉中叶分支的一个结节性病变外，肺栓塞几乎消失，CT图像怀疑有血栓形成的肺动脉瘤伴血栓。患者接受了电视辅助胸腔镜下中叶切除术。最终病理诊断为硬化性血管瘤。术后1年她未出现复发，我们在随访期间继续密切关注。
