Conjunction of a Fungus Ball and a Pulmonary Tumourlet in a Bronchiectatic Cavity

Herein, we describe the case of a 67-year-old female patient who presented with cough and haemoptysis. Chest computed tomography revealed destruction of the left lower lobe and multiple fungus balls in a bronchiectatic cavity. A left lower lobectomy was performed via thoracotomy. Histopathological examination of the lung showed a concomitant aspergilloma and multiple tumourlets in the large bronchiectatic cavity. Pulmonary intracavitary aspergilloma and concomitant tumourlets are quite rare. Our report presents this interesting case that manifested with haemoptysis.

Late-onset chylothorax after a pneumonectomy for lung cancer: a case report

Chylothorax is a relatively rare complication associated with thoracic surgery. It tends to occur in the early postoperative period. The prevalence ranges from 1 - 2%, and without treatment, the mortality rate is around 50%. Chylothorax after a pulmonary resection is usually diagnosed within three days after surgery. Only a few cases of delayed diagnosis have been reported in literature until now and almost all of them have been reported to occur within 15 days of surgery. Early recognition and prompt treatment are essential. We report a case of delayed onset chylothorax after pneumonectomy with literature review

Seven years experience of bronchogenic cysts

To reveal the clinical, radiological, and surgical results of bronchogenic cysts. Patients that underwent surgical procedure between January 2000 and June 2007, at Izmir Dr. Suat Seren Chest Disease and Thoracic Surgery Training Hospital, Izmir, Turkey with a radiological diagnosis of bronchogenic cyst were assessed retrospectively. Patients with confirmed histopathologically bronchogenic cyst [n=28] were evaluated for age, gender, symptoms, clinical and radiological signs, procedure of surgical treatment, and post-operative complications. There were 12 females, 16 males, and the mean age was 45.3 [25-73] years. Cysts were located at the pulmonary parenchyma in 53.5%, at the mediastinum in 43%, and at the intrathoracic extrapulmonary in 3.5%. There was no relation between localization and gender [p=0.276], and localization and the presence of symptoms [p=0.409]. Frequently seen symptoms were dyspnea and chest pain. Cysts were infected in 11%, and intact in 89%. The average diameter of the cysts was 6.18 cm [2-12]. Surgical complete resection was performed via thoracotomy in all patients. Mean follow-up time was 36 months, and there was no death. Minor postoperative complications occurred in 3 patients. Radiology alone may not be enough for diagnosis of bronchogenic cysts in all patients. Early surgical intervention is suggested for the exact diagnosis and prevention of operative difficulties and complications