Matsumiya Hiroki, Kuroda Koji, Hashimoto Teppei, Tanaka Fumihiro
Second Department of Surgery, University of Occupational and Environmental Health Japan, Kitakyushu, Japan.
Thorac Cardiovasc Surg Rep. 2024 Feb 12;13(1):e8-e11. doi: 10.1055/a-2234-7907. eCollection 2024 Jan.
No consensus exists regarding surgical intervention for rheumatoid nodule-related pneumothorax. Clinical policy decisions rely on individual clinicians' experience and are usually intractable. A 50-year-old man with a difficult-to-treat rheumatoid arthritis-related pneumothorax was successfully treated with pedicle omentoplasty without recurrence at approximately 2 years posttreatment. To the best of our knowledge, this is the first report of a patient where pneumothorax did not recur due to firm adhesions despite fluctuating postoperative rheumatoid nodules, as captured by regular computed tomography imaging follow-ups. Pedicled omentoplasty is effective for rheumatoid nodule-related pneumothorax as it reduces pneumothorax recurrence.
关于类风湿结节相关性气胸的手术干预，目前尚无共识。临床决策依赖于个体临床医生的经验，通常很难处理。一名50岁男性患有难以治疗的类风湿关节炎相关性气胸，在接受带蒂大网膜成形术后成功治愈，术后约2年未复发。据我们所知，这是第一例报告，尽管术后类风湿结节波动，但通过定期计算机断层扫描成像随访发现，由于牢固粘连，气胸未复发。带蒂大网膜成形术对类风湿结节相关性气胸有效，因为它可降低气胸复发率。
