Garg Shreya, Aggarwal Kanishk, Anamika Fnu, Kumar Avi
Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, IND.
Internal Medicine, University College of Medical Sciences, New Delhi, IND.
Cureus. 2023 May 5;15(5):e38569. doi: 10.7759/cureus.38569. eCollection 2023 May.
Bronchogenic cysts are closed sac-like cystic lesions resulting from abnormal budding of the primitive foregut during the early development of the alimentary and respiratory systems. We describe the case of a 54-year-old man who presented to the emergency department with complaints of fever, chills, shortness of breath, and a productive cough with intermittent hemoptysis for the past two to three months. Initial workup revealed a right lung hydropneumothorax with complete atelectasis of the right lung and a mass effect on the left lung. During intercostal drainage, pleural fluid analysis revealed empyema with treated with antibiotics. However, the symptoms persisted after five days of antibiotic treatment and drainage. A multidisciplinary team of thoracic surgeons, anesthesiologists, and pulmonologists was assembled due to the non-resolving nature of the lung abscess. The patient underwent a right middle lobe lobectomy with decortication via open thoracotomy, and a bronchogenic cyst, an uncommon cause of the lung abscess, was suggested by histopathological analysis.
支气管源性囊肿是一种封闭的囊状囊性病变，由消化道和呼吸系统早期发育过程中原发性前肠的异常芽生引起。我们描述了一名54岁男性的病例，他因过去两到三个月出现发热、寒战、呼吸急促以及伴有间歇性咯血的咳痰症状而到急诊科就诊。初步检查发现右侧液气胸伴右肺完全肺不张，且对左肺有占位效应。在肋间引流期间，胸腔积液分析显示为脓胸，给予抗生素治疗。然而，抗生素治疗和引流五天后症状仍持续。由于肺脓肿的病情未得到缓解，组建了由胸外科医生、麻醉师和肺科医生组成的多学科团队。患者通过开胸手术接受了右中叶肺叶切除加纤维板剥脱术，组织病理学分析提示为支气管源性囊肿，这是肺脓肿的一种罕见病因。
