결핵성 공동으로 오인된 외상 후 발생한 가성 폐낭종 1예
A Case of Post-Traumatic Pulmonary Pseudocyst Mimicking Pulmonary Cavitary Tuberculosis
강지영 (가톨릭대학교)
임선미 (가톨릭대학교)
자은혜 (가톨릭대학교)
김지현 (가톨릭대학교)
문화식 (가톨릭대학교)
이배영 (가톨릭대학교)
김세원 (가톨릭대학교)
이상학 (가톨릭대학교)
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Abstract
A traumatic pulmonary pseudocyst is a rare complication of blunt thoracic trauma. The clinical symptoms and signs are similar to other respiratory diseases, such as pulmonary tuberculosis. Therefore, a trauma history with the resulting radiologic and clinical findings is important for making a diagnosis. A 26-year-old male was admitted to our hospital due to cough for 3 days. The chest x-ray revealed diffuse infiltrations and a cavitary lesion at the left lung. His left chest had hit a tree as a result of motorcycle accident one day before admission. Initially, it was assumed that his symptoms and chest X-ray might be due to a tuberculosis infection. However, bronchoscopy revealed old blood clots at both lungs, particularly in the left lower lobe bronchus. A transbronchial lung biopsy showed alveolar hemorrhage. A traumatic pulmonary pseudocyst was diagnosed from his trauma history and these findings. Computed tomography of the chest performed 4 months later showed regression of the cavitary lesion.
- keywords
- Lung Injury, Cysts, Wounds and Injuries, Cavity
참고문헌
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