Mizutani Eiki, Nakahara Kazuki, Miyanaga Shigeki, Seike Ayako, Kishida Yukiko, Tamura Koichi
Department of Thoracic Surgery, Tokyo Teishin Hospital, Tokyo, Japan.
Kyobu Geka. 2015 Mar;68(3):201-3.
We herein report a case of intrapulmonary hematoma after lobectomy for lung cancer. A 51-year-old male underwent right upper lobectomy for lung cancer in a thoracoscopic procedure. Three months after the operation, chest computed tomography showed a 16-mm well-circumscribed nodule in the right lower lobe suggesting metastatic carcinoma for lung cancer. We performed the partial resection of the right lower lobe. The histological examination confirmed the diagnosis of an intrapulmonary hematoma. When pulmonary shadow appears after lung operations, intrapulmonary hematoma is one of a choice of differential diagnosis. Magnetic resonance imaging may be useful in establishing the diagnosis when intrapulmonary hematoma is suspicious clinically.
我们在此报告一例肺癌肺叶切除术后肺内血肿的病例。一名51岁男性接受了胸腔镜下肺癌右上叶切除术。术后三个月，胸部计算机断层扫描显示右下叶有一个16毫米边界清晰的结节，提示肺癌转移癌。我们对右下叶进行了部分切除。组织学检查证实为肺内血肿。肺部手术后出现肺部阴影时，肺内血肿是鉴别诊断的选择之一。当临床上怀疑肺内血肿时，磁共振成像可能有助于确诊。
