Nagata Masashi, Otani Shinichi, Kanai Yoshihiko, Yamamoto Shinichi, Tsubochi Hiroyoshi, Endo Shunsuke
Department of General Surgery, Okinawa Kyodo Hospital, Naha, Japan.
Department of General Thoracic Surgery, Jichi Medical University Saitama Medical Center, Omiya, Saitama, Japan.
Ann Thorac Surg Short Rep. 2023 Aug 3;1(4):570-573. doi: 10.1016/j.atssr.2023.07.002. eCollection 2023 Dec.
Thoracic vertebral osteophytes have been reported to affect the adjacent organs. We report an uncommon case of localized bronchiectasis secondary to an allergic reaction stimulated by vertebral osteophytes. A man in his 60s presented with a 2.5-cm lung nodule connected to the proximal segmental bronchus in the right lower lobe near vertebral osteophytes that caused obstructive pneumonia due to mucoid impaction. His medical history suggested a tendency for development of allergic respiratory tract reactions. Thoracoscopic resection was successfully performed, and histopathologic examination confirmed the pathogenesis.
据报道，胸椎骨赘会影响邻近器官。我们报告一例罕见的因椎体骨赘刺激过敏反应继发局部支气管扩张的病例。一名60多岁男性患者，右下叶靠近椎体骨赘处有一个2.5厘米的肺结节，与近端段支气管相连，因黏液嵌塞导致阻塞性肺炎。他的病史提示有发生过敏性呼吸道反应的倾向。成功实施了胸腔镜切除术，组织病理学检查证实了发病机制。
