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Traumatic pulmonary pseuodocysts: two case reports.

Kocer B, Gulbahar G, Gunal N, Dural K, Sakinci U - J Med Case Rep (2007)

Bottom Line: Although TPP is usually benign in nature, complications associated with hemoptysis and secondary infection may develop.The treatment is conservative.In this report, we present two rare cases of TPP occuring after a high-speed accident and a stab wound injury, where conservative treatment provided good outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Thoracic surgery, Numune Teaching and Research Hospital, Division of Thoracic Surgery, Ankara, Turkey. mdgultekin@gmail.com.

ABSTRACT
Traumatic pulmonary pseudocyst (TPP) is a rare complication, sometimes encountered after blunt thoracic trauma and even more rarely following penetrating injuries. It is more common among pediatric and young adult patients. Although TPP is usually benign in nature, complications associated with hemoptysis and secondary infection may develop. The treatment is conservative. In this report, we present two rare cases of TPP occuring after a high-speed accident and a stab wound injury, where conservative treatment provided good outcomes.

No MeSH data available.


Related in: MedlinePlus

The direct x-ray image of the first patient on the 2nd day of the trauma. Two cavitary lesions on the right and accompanying low-percentage pneumothorax are observed.
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Figure 1: The direct x-ray image of the first patient on the 2nd day of the trauma. Two cavitary lesions on the right and accompanying low-percentage pneumothorax are observed.

Mentions: A 13-year-old male patient presented to the emergency ward following vehicle versus pedestrian accident. The patient had complainted of right shoulder and right chest pain. On physical examination, he was hemodynamically stable and well perfused. Auscultation of the lungs revealed decreased respiratory sounds over the right hemithorax and painful right shoulder motions were noted. The white blood cell count was 19.6 K/uL, and there was a mild increase in serum transaminase, creatine phosphokinase and lactic dehydrogenase activity. The chest x-rays were consistent with bilateral parenchymal contusion and showed a fracture at the right humeral neck. The patient was admitted to our clinic. In the control x-ray taken 24 hours after admission, low percentage pneumothorax and two cavities were detected on the right (Figure 1). Thus, a chest computed tomography (CT) was obtained. The CT showed bilateral contusion, 2 cavitary lesions on the right, and minimal hemopneumothorax (Figure 2). The patient was treated by catheter aspiration and operation for his humeral neck fracture was performed on day 7. The TPP had completely resolved by the fourth week.


Traumatic pulmonary pseuodocysts: two case reports.

Kocer B, Gulbahar G, Gunal N, Dural K, Sakinci U - J Med Case Rep (2007)

The direct x-ray image of the first patient on the 2nd day of the trauma. Two cavitary lesions on the right and accompanying low-percentage pneumothorax are observed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2117003&req=5

Figure 1: The direct x-ray image of the first patient on the 2nd day of the trauma. Two cavitary lesions on the right and accompanying low-percentage pneumothorax are observed.
Mentions: A 13-year-old male patient presented to the emergency ward following vehicle versus pedestrian accident. The patient had complainted of right shoulder and right chest pain. On physical examination, he was hemodynamically stable and well perfused. Auscultation of the lungs revealed decreased respiratory sounds over the right hemithorax and painful right shoulder motions were noted. The white blood cell count was 19.6 K/uL, and there was a mild increase in serum transaminase, creatine phosphokinase and lactic dehydrogenase activity. The chest x-rays were consistent with bilateral parenchymal contusion and showed a fracture at the right humeral neck. The patient was admitted to our clinic. In the control x-ray taken 24 hours after admission, low percentage pneumothorax and two cavities were detected on the right (Figure 1). Thus, a chest computed tomography (CT) was obtained. The CT showed bilateral contusion, 2 cavitary lesions on the right, and minimal hemopneumothorax (Figure 2). The patient was treated by catheter aspiration and operation for his humeral neck fracture was performed on day 7. The TPP had completely resolved by the fourth week.

Bottom Line: Although TPP is usually benign in nature, complications associated with hemoptysis and secondary infection may develop.The treatment is conservative.In this report, we present two rare cases of TPP occuring after a high-speed accident and a stab wound injury, where conservative treatment provided good outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Thoracic surgery, Numune Teaching and Research Hospital, Division of Thoracic Surgery, Ankara, Turkey. mdgultekin@gmail.com.

ABSTRACT
Traumatic pulmonary pseudocyst (TPP) is a rare complication, sometimes encountered after blunt thoracic trauma and even more rarely following penetrating injuries. It is more common among pediatric and young adult patients. Although TPP is usually benign in nature, complications associated with hemoptysis and secondary infection may develop. The treatment is conservative. In this report, we present two rare cases of TPP occuring after a high-speed accident and a stab wound injury, where conservative treatment provided good outcomes.

No MeSH data available.


Related in: MedlinePlus