TRAUMATIC PULMONARY PSEUDOCYST (TPP)
Authors:
Jiří Škach 1; Alexej Skačkov 2; Peter Hromádka 1
Authors place of work:
Chirurgické oddělení, Krajská nemocnice Liberec a. s.
1; General Surgery Department, Regional Hospital Liberec
1; Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec a. s.
2; Traumatology and Orthopeadic Department, Regional Hospital Liberec
2
Published in the journal:
Úraz chir. 22., 2014, č.2
Summary
INTRODUCTION:
Pulmonary paremchymal laceration with pneumatocele and intraparenchymal hemorrhagie is a rare diagnosis in blunt thoracic trauma mainly in young adults. Blunt chest trauma manifests commonly as a parenchymal contusion and fractures of ribs. In rare cases pseudocavitation may also be seen on the chest X ray or CT. They are to be differentiated from other causes of pulmonary cavitatiton which are often done based on medicine history of patient.
CASE REPORT:
20-years-old man intoxicated with alcohol was addmited to hospital in regime of polytraumatized patient. There was unclear information of high fall. On CT scan, there was no sceletal damage and there were, except bilateral lung contusions, presented only cavitary lung lesions in the left lower lobe. Due to continuous bleeding (hemoptysis) the left inferior pulmonary lobectomy was performed with very good results.
DISCUSSION:
The so called traumatic pulmonary pseudocyst usually has a benign course and needs only observation. The reasons, follow-ups and review of a literature are discussed.
CONCLUSION:
Traumatic pulmonary pseudocyst is a rare diagnosis observed usually on CT scan mainly in young adults with history of blunt chest trauma. Nonoperative treatment and observation in hospital are in most cases effective. Invasive methods and operative treatment as lung resections are supposed to be reserved for complications.
KEY WORDS:
Laceration, pneumatocele, pseudocyst.
Zdroje
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Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
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