Rego Erica, Abdelmeguid Ahmed, Wang Yuqi Kevin, Dewan Karuna
New Jersey Medical School, Rutgers University, New Brunswick, NJ, USA.
Division of Laryngology, Department of Otolaryngology- Head and Neck Surgery, Stanford University, Stanford, CA, USA.
Case Rep Otolaryngol. 2021 Mar 8;2021:6658690. doi: 10.1155/2021/6658690. eCollection 2021.
Dysphagia after pneumonectomy is uncommon but concerning. The purpose of this paper is to present a case of dysphonia secondary to postpneumonectomy syndrome. . A 66-year-old female with stage IIIa adenocarcinoma of the lung was treated with a left pneumonectomy. Three years later, she presented with severe dysphagia, dyspnea, and dysphonia. Esophagram demonstrated severely deviated esophagus to the left of midline, attributed to prior left-sided pneumonectomy, without clear evidence of any external compression. Chest CT scan showed associated leftward mediastinal shift. This patient was treated with voice therapy and an exclusion diet, as the patient elected not to have surgery.
This is the first reported case of dysphonia accompanying severe dysphagia following left pneumonectomy. While postpneumonectomy syndrome is rare, a high degree of clinical suspicion is recommended when treating patients with history of pneumonectomy.
肺切除术后吞咽困难并不常见，但值得关注。本文旨在介绍一例因肺切除术后综合征继发的发音困难病例。一名66岁患有Ⅲa期肺腺癌的女性接受了左肺切除术。三年后，她出现了严重的吞咽困难、呼吸困难和发音困难。食管造影显示食管严重向中线左侧偏移，归因于之前的左侧肺切除术，没有明显的外部压迫证据。胸部CT扫描显示伴有纵隔向左移位。由于患者选择不进行手术，该患者接受了语音治疗和排除饮食治疗。
这是首例报道的左肺切除术后伴有严重吞咽困难的发音困难病例。虽然肺切除术后综合征很少见，但在治疗有肺切除病史的患者时，建议保持高度的临床怀疑。
