Nagano Masaaki, Ikeda Shingo, Ueda Satoshi, Hoshino Tatsuhiro, Yokota Toshiya, Mori Masaya
Department of Thoracic Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
Kyobu Geka. 2015 Aug;68(9):764-7.
A 79-year-old female visited a hospital because of high fever and computed tomography(CT)showed a cystic lesion with fluid accumulation in her left lung. She had hemoptysis and left chest pain 3 days after antibiotic therapy was started. Chest CT demonstrated the cystic lesion rupturing and causing hemopneumothorax. Then she was referred to our department and thoracic drainage was performed. However, a week after the drainage, she had hemoptysis and chest pain again, and the left lower lobectomy was performed. Histopathological findings showed the cystic lesion was intrapulmonary bronchogenic cyst. We describe a rare case of the hemopneumothorax due to the hemorrhage in the bronchogenic cyst.
一名79岁女性因高热就诊，计算机断层扫描（CT）显示其左肺有一个伴有液体积聚的囊性病变。在开始抗生素治疗3天后，她出现了咯血和左胸痛。胸部CT显示囊性病变破裂并导致血气胸。随后她被转诊至我科并进行了胸腔引流。然而，引流一周后，她再次出现咯血和胸痛，于是进行了左下肺叶切除术。组织病理学检查结果显示囊性病变为肺内支气管源性囊肿。我们报道了一例因支气管源性囊肿出血导致血气胸的罕见病例。
