血胸をきたした肺副葉の一例

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  • A Case of Lung Accessory Lobe Complicated with Hemothorax.

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Differential diagnosis of hemothorax is important for the urgent treatment, since hypovolemic shock may be occurred due to the bleeding. It can be classified by its etiology such as traumatic, symptomatic (malignant tumor, pulmonary infarction, etc.), iatrogenic (operation, thoracentesis, etc.), and idiopathic. Most of them are traumatic and others are rare. In this report, we present a 4-year-old boy with hemothorax. Iatrogenic etiology due to pleural centesis was first thought. However it was denied because there was fluctuation on the effusion surface and the bloody effusion did not coagulate soon. Abnormal mass was found at right lower lung by CT and MRI. The resected mass was an independent pulmonary tissue which existed within the pleural membrane and an artery similar to pulmonary artery was found. We diagnosed finally that the mass was accessory lobe. This is the first case of lung accessory lobe compli cated with hemothorax.

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