Case of Rapid Formation of Intraoperative Pulmonary Pneumatocele After Lobectomy

Aya Sugimura; Tsuyoshi Takahashi; Keigo Sekihara; Satoshi Nagasaka

doi:10.1016/j.athoracsur.2020.03.028

Case of Rapid Formation of Intraoperative Pulmonary Pneumatocele After Lobectomy

Ann Thorac Surg. 2020 Oct;110(4):e331-e332. doi: 10.1016/j.athoracsur.2020.03.028. Epub 2020 Apr 14.

Authors

Aya Sugimura¹, Tsuyoshi Takahashi², Keigo Sekihara¹, Satoshi Nagasaka¹

Affiliations

¹ Department of Thoracic Surgery, National Center for Global Health and Medicine, Tokyo, Japan.
² Department of Thoracic Surgery, National Center for Global Health and Medicine, Tokyo, Japan. Electronic address: tsuyoshi.takahashi@wustl.edu.

PMID: 32302662
DOI: 10.1016/j.athoracsur.2020.03.028

Abstract

Pulmonary pneumatocele that forms immediately after pulmonary resection is extremely rare. This report describes a case of pneumatocele that formed rapidly in the left lower lobe immediately after left upper lobectomy in a patient with lung cancer and emphysema. Massive and persistent air leakage through a chest tube was noted immediately after chest closure. Therefore, the chest was reopened, and the cyst wall was incised. The air leakage point was cauterized and covered with a polyglycolic acid sheet and fibrin glue. Herein, we report a rare case of newly developed pneumatocele immediately after lobectomy.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Disease Progression
Humans
Intraoperative Complications / diagnosis*
Intraoperative Complications / etiology
Lung / diagnostic imaging*
Lung Diseases / diagnosis*
Lung Diseases / etiology
Male
Pneumonectomy / adverse effects*
Pulmonary Disease, Chronic Obstructive / surgery
Tomography, X-Ray Computed