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患者因继发性自发性气胸,在食管后间隙出现一罕见的气肿疱。

An unusual bulla in azygoesophageal recess in a patient with secondary spontaneous pneumothorax.

机构信息

Department of Thoracic Surgery, Chest Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.

Department of Thoracic Surgery, Uji-Tokushukai Medical Center, Kyoto, Japan.

出版信息

Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):139-141. doi: 10.1093/icvts/ivab057.

Abstract

We report a case of secondary spontaneous pneumothorax in which the causative bulla was successfully managed by thoracoscopic surgery. A 64-year-old male was admitted presenting with a right pneumothorax. Chest computed tomography revealed a bulla located in the azygoesophageal recess. Thoracoscopic surgery confirmed an unusual bulla extending along the thoracic spine with a fistula at the tip. We describe the intriguing features of this unique bulla and speculate on its aetiology for the first time.

摘要

我们报告了一例继发性自发性气胸病例,其中通过胸腔镜手术成功治疗了导致气胸的大疱。一名 64 岁男性因右侧气胸入院。胸部计算机断层扫描显示一个位于咽食管隐窝的大疱。胸腔镜检查证实了一个不寻常的大疱,它沿着胸椎延伸,尖端有一个瘘管。我们首次描述了这个独特大疱的有趣特征,并对其病因进行了推测。

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引用本文的文献

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Air-trapping bulla in the azygoesophageal recess as a "sentinel bulla" causing secondary spontaneous pneumothorax: A case report.
Respir Med Case Rep. 2024 Oct 21;52:102132. doi: 10.1016/j.rmcr.2024.102132. eCollection 2024.

本文引用的文献

1
A deep azygoesophageal recess may increase the risk of secondary spontaneous pneumothorax.
Surg Today. 2017 Sep;47(9):1147-1152. doi: 10.1007/s00595-017-1482-1. Epub 2017 Feb 15.
2
Spontaneous pneumothorax: epidemiology, pathophysiology and cause.
Eur Respir Rev. 2010 Sep;19(117):217-9. doi: 10.1183/09059180.00005310.
3
Pneumothorax after left pneumonectomy: accentuated negative pressure at azygoesophageal recess by a mediastinal shift and rotation.
Eur J Cardiothorac Surg. 2010 May;37(5):1222. doi: 10.1016/j.ejcts.2009.11.039. Epub 2010 Feb 1.
4
Secondary spontaneous pneumothorax associated with emphysema and ruptured bullae at the azygoesophageal recess.
Gen Thorac Cardiovasc Surg. 2008 Nov;56(11):539-43. doi: 10.1007/s11748-008-0290-3. Epub 2008 Nov 12.

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