Nomura Shunsuke, Kaji Mitsuhito, Shiina Nobuyuki, Yamasaki Hiroshi, Sato Masaaki
Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital, Sapporo, Japan.
Kyobu Geka. 2022 Jun;75(6):476-479.
A 23-year-old man was referred to our department for chest abnormal shadow. Computed tomography (CT) of the chest revealed a well-defined 1.2 cm nodule in the S4 segment of the right middle lobe and a well-defined 1.8 cm nodule in the S10 segment of the right lower lobe. The patient was found to have a fracture in the left fifth rib due to the falling accident at playing snowboard, two months before. He was diagnosed with a benign tumor in the right middle lobe and the right lower lobe and was performed surgery. Thoracoscopy revealed a yellowish-brown tumor in the right middle lobe( S4) and a yellow-brown tumor in the right lower lobe( S10). Both lesions were diagnosed as clots by rapid intraoperative pathologic diagnosis. Histopathological diagnosis was an intrapulmonary hematoma.
一名23岁男性因胸部异常阴影被转诊至我科。胸部计算机断层扫描（CT）显示右中叶S4段有一个边界清晰的1.2厘米结节，右下叶S10段有一个边界清晰的1.8厘米结节。该患者在两个月前玩滑雪板时因摔倒事故导致左侧第五肋骨骨折。他被诊断为右中叶和右下叶良性肿瘤，并接受了手术。胸腔镜检查发现右中叶（S4）有一个黄褐色肿瘤，右下叶（S10）有一个黄棕色肿瘤。术中快速病理诊断显示两个病变均为血凝块。组织病理学诊断为肺内血肿。
