钝性胸外伤的罕见并发症:肺假性囊肿

S. Gezer, Sema Y ld z, Ali K l çgün
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引用次数: 1

摘要

外伤性肺假性囊肿是胸部钝性创伤的罕见并发症。一名40岁男性患者胸部钝性创伤后住院。事故发生20小时后,在左肺上叶发现两个充满空气的囊肿,周围有实变区。患者既往无肺病史。肺囊肿首先被认为是外伤性肺假性囊肿,随后进行保守治疗。在随访中,假性囊肿在第17天开始缩小,并在事故发生后的第51天完全消退。这种罕见的实体最常见于儿童和年轻人。创伤性肺假性囊肿不像真正的囊肿一样包括上皮或支气管壁成分。治疗通常是保守的,因为它们通常会自行消退。如果保守治疗失败或出现并发症,应考虑手术治疗。
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Rare Complication Of Blunt Chest Trauma: Pulmonary Pseudocyst
Traumatic pulmonary pseudocyst is an infrequent complication of blunt chest trauma. A 40 year-old male patient was hospitalized after a blunt chest trauma. Twenty hours after the accident, two air filled cysts with a surrounding consolidation area, in the upper lobe of left lung were detected radiologically. The patient did not give any previous lung disease history. The cysts of the lung were firstly accepted as traumatic pulmonary pseudocyst and followed-up with conservative management. During the follow-up, pseudocysts began to shrink after the 17th day and compeletely resolved on the 51st day of the accident. This rare entity is most often seen in children and young adults. Traumatic pulmonary pseudocysts do not include epithelium or bronchial wall elements as it is in a true cyst. The treatment is generally conservative since they usually resolve spontaneously. Surgery should be considered in case of failed conservative treatment and development of complications.
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