外傷性肺嚢胞の２例

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  • Two cases of traumatic pulmonary pseudocyst.

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Case 1: A 28-year-old man who was a bicycle racer sustained blunt chest trauma after being thrown from his bicycle. He complained of chest pain and small amounts of hemoptysis. The chest X-ray showed slight consolidation of the right lung without rib fractures. The CT scan of the chest demonstrated a cavity with an air-fluid level in the right lower lobe. The cavitary lesion decreased gradually in size on the follow-up CT scan of the chest.<BR>Case 2: A 20-year-old man sustained multiple injuries in a motor vehicle accident. An initial chest X-ray revealed a right hemopneumothorax and extensive consolidation of the right lung. The right chest tube drained about 600 ml serosanguineous fluid, and a continuous severe air leak was noted. The CT scan of the chest revealed multiple cavitary lesions in the right lower lobe. The decision was made to perform an emergency operation because of severe air leak. The postoperative course was uneventful, and the cavitary lesions decreased in size on the follow-up CT scan like in Case 1.<BR>Our two patients were treated and recovered uneventfully. It is important to detect traumatic pulmonary pseudocyst as early as possible. Earlier use of the chest CT scan might have led to a more timely diagnosis and alterations in the therapeutic strategy.

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