Kawashima M, Katoh O, Aoki Y, Nakahara Y, Yamada H
Department of Internal Medicine, Saga Medical School, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Feb;32(2):152-5.
A 52-year-old woman who had received a right upper lobectomy and thoracoplasty for the treatment of pulmonary tuberculosis 30 years prior to the present disorder, was admitted to out hospital with massive hemoptysis. We diagnosed aspergilloma clinically because chest X-ray showed a fungus ball-like mass with meniscus sign. Right middle and lower lobectomies were performed after the 7th bronchial arterial embolization for recurrent hemoptysis. The resected specimen showed a mass of old gauze, a so-called "gauzeoma". We have found no previous reports of gauzeoma with both meniscus sign and recurrent massive hemoptysis mimicking aspergilloma.
一名52岁女性,在本次疾病发生30年前因肺结核接受了右上肺叶切除术和胸廓成形术,现因大量咯血入住我院。临床诊断为曲菌球,因为胸部X线显示有一个呈新月征的真菌球样肿块。在第7次支气管动脉栓塞术后,因反复咯血进行了右中肺叶和下肺叶切除术。切除标本显示为一团陈旧纱布,即所谓的“纱布瘤”。我们未发现之前有关于具有新月征和反复大量咯血、酷似曲菌球的纱布瘤的报道。