Kadoyama C, Fujino M, Hasejima N, Kobayashi H, Takezawa S, Yamato K, Kaneko K, Kawano Y
Department of Respiratory Surgery, Omiya Redcross Hospital, Yono, Japan.
Kyobu Geka. 1996 Oct;49(11):959-62.
One case of intralobar pulmonary sequestration associated with asymptomatic aspergillosis are reported. A 39-year-old woman was admitted to our hospital because of abnormal shadow in the right lower lobe detected on mass miniature chest X-ray. The patient had been asymptomatic, and an aortogram showed an anomalous artery originating from abdominal aorta and entering the abnormal shadow suggesting sequestration. The right S10 segmentectomy was done. With bacterial culture of fluid in the specimen and on microscopic investigation this proved to be an intralobar pulmonary sequestration infected with Aspergillus. This case shows the necessity of prompt resection of intralobar pulmonary sequestration, even if asymptomatic.
报道了1例叶内型肺隔离症合并无症状曲霉菌病的病例。一名39岁女性因胸部X线片发现右下叶异常阴影而入住我院。患者无症状,主动脉造影显示一条异常动脉发自腹主动脉并进入异常阴影,提示为肺隔离症。遂行右S10段切除术。对标本中的液体进行细菌培养并经显微镜检查,证实这是一例感染曲霉菌的叶内型肺隔离症。该病例表明,即使叶内型肺隔离症无症状,也有必要及时进行切除。