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Treatment of a pneumatocele in a COVID-19 patient with endobronchial valves.
Bugge, Anders Standal; Sundset, Arve; Aaløkken, Trond Mogens; Jørgensen, Lars Hilmar.
  • Bugge AS; Department of Respiratory Medicine, Oslo University Hospital, Oslo, Norway sbbuga@ous-hf.no.
  • Sundset A; Department of Respiratory Medicine, Oslo University Hospital, Oslo, Norway.
  • Aaløkken TM; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
  • Jørgensen LH; Department of Radiology, Oslo University Hospital, Oslo, Norway.
BMJ Case Rep ; 15(6)2022 Jun 21.
Article in English | MEDLINE | ID: covidwho-1901953
ABSTRACT
A man in his 40s was admitted to his local hospital 6 days after the first vague symptoms of COVID-19. His general condition deteriorated, and he was treated in the intensive care unit but did not require mechanical ventilation. During his recovery, he experienced a cough spell, after which his dyspnoea recurred and rapidly increased. CT pulmonary angiogram showed a 10×18 cm cavitary lesion with an air-fluid level and surrounding atelectasis of the right lower lobe. A one-way valve mechanism had developed, leading to the formation of a pneumatocele. The patient was treated by occlusion of all bronchial segments of the right lower lobe with endobronchial valves, and the pneumatocele was evacuated with a pigtail catheter. The valves were removed 4 weeks after insertion, and the right lower lobe re-expanded. Six months after treatment, the patient had recovered completely and almost regained his former lung function.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cysts / COVID-19 Type of study: Case report Limits: Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Bcr-2022-250409

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cysts / COVID-19 Type of study: Case report Limits: Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Bcr-2022-250409