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A Case of Post-Traumatic Pulmonary Pseudocyst Mimicking Pulmonary Cavitary Tuberculosis

결핵성 공동으로 오인된 외상 후 발생한 가성 폐낭종 1예

  • Lee, Hyun Jeong (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kang, Ji Young (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Yim, Sun Mie (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Ji, Eun Hye (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Ji Hyun (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Sei Won (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Bae Young (Department of Radiology, The Catholic University of Korea, College of Medicine)
  • 이현정 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지영 (가톨릭대학교 의과대학 내과학교실) ;
  • 임선미 (가톨릭대학교 의과대학 내과학교실) ;
  • 지은혜 (가톨릭대학교 의과대학 내과학교실) ;
  • 김지현 (가톨릭대학교 의과대학 내과학교실) ;
  • 김세원 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 이배영 (가톨릭대학교 의과대학 영상의학교실)
  • Received : 2009.09.16
  • Accepted : 2009.09.29
  • Published : 2009.11.30

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

References

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Cited by

  1. A Patient With Trauma Having Cavitary Pulmonary Nodules : Should Further Workup be Pursued? vol.29, pp.5, 2009, https://doi.org/10.1177/0885066613503277