Kitamura Naoya, Ojima Toshihiro
Department of Thoracic Surgery Kurobe City Hospital Kurobe Japan.
Respirol Case Rep. 2020 Apr 6;8(4):e00553. doi: 10.1002/rcr2.553. eCollection 2020 May.
We report a rare case of peripheral pulmonary hamartoma that caused haemoptysis from the non-adjacent bronchus. A 54-year-old man was admitted to our hospital because of haemoptysis. Contrast-enhanced chest computed tomography revealed a tumour measuring 25 × 24 mm in the left lower lobe. Fluid was observed around the pulmonary artery in addition to the consolidation of the lingular segment of the left lung. Bronchoscopy confirmed continuous bleeding from the lingular bronchus, and surgery was planned. The patient was promptly diagnosed with pulmonary hamartoma intraoperatively, and tumour enucleation was performed. The haemoptysis resolved after surgery, and the patient was discharged on post-operative day 10. As peripheral hamartoma does not generally cause haemoptysis, we suspected that the haemoptysis occurred due to the unusual condition in which the bleeding from the tumour reached the non-adjacent lingular branch along the pulmonary artery sheath.
我们报告一例罕见的周围型肺错构瘤,该肿瘤导致非相邻支气管咯血。一名54岁男性因咯血入住我院。胸部增强计算机断层扫描显示左下叶有一个大小为25×24mm的肿瘤。除左肺舌段实变外,还观察到肺动脉周围有积液。支气管镜检查证实舌叶支气管持续出血,遂计划进行手术。术中患者被迅速诊断为肺错构瘤,并进行了肿瘤剜除术。术后咯血症状消失,患者于术后第10天出院。由于周围型错构瘤一般不会引起咯血,我们怀疑咯血是由于肿瘤出血沿肺动脉鞘到达非相邻的舌叶分支这一异常情况所致。