Sakata Shozo, Sakurai Hiroyuki, Kawachi Riken, Shimamura Mie, Sato Daisuke, Hayashi Sohei, Sakakibara Masashi
Department of Respiratory Surgery, Nihon University, Tokyo, Japan.
Kyobu Geka. 2020 Nov;73(12):1049-1051.
A 17-year-old man came to the hospital complaining of right back pain. He had a history of an emergency operation for a left idiopathic hemopneumothorax. A chest X-ray revealed right lung collapse and suggested pleural adhesion at the apex of the right lung. He was diagnosed with right spontaneous pneumothorax and the surgical treatment was performed, because pleural adhesion may cause the hemothorax. During surgery, several pleural adhesion bands were found in the thoracic cavity between the right lung apex and chest wall. Spontaneous pneumothorax with a pleural adhesion at the apex is considered to be the indication for surgery because of the risk of hemothorax.
一名17岁男性因右侧背部疼痛前来医院就诊。他曾因左侧特发性血气胸接受过急诊手术。胸部X光显示右肺塌陷,并提示右肺尖部存在胸膜粘连。他被诊断为右侧自发性气胸,并接受了手术治疗,因为胸膜粘连可能导致血胸。手术过程中,在右肺尖与胸壁之间的胸腔内发现了几条胸膜粘连带。由于存在血胸风险,肺尖部有胸膜粘连的自发性气胸被认为是手术指征。