ABSTRACT
A 54-year-old female was admitted to our hospital with a mass shadow in the right pulmonary hilum. The chest computed tomography (CT) scan revealed a well-circumscribed mass in the lower lobe of the right lung. Bronchoscopic examination showed a submucosal tumor in the right basal bronchus which bled easily, and the angiogram showed a tumor with hypervascularity. The tumor was suspected to be a sclerosing hemangioma or malignant tumor. A right basal segmentectomy was performed, and the pathological diagnosis was that of schwannoma. During the 8 year follow-up period, she exhibited no evidence of recurrence.
Subject(s)
Lung Neoplasms/blood supply , Neurilemmoma/blood supply , Female , Humans , Lung Neoplasms/diagnostic imaging , Middle Aged , Neurilemmoma/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A 62-year-old male who had had the left femoral neck fracture due to a traffic accident 1 year earlier was admitted to our hospital because of abdominal pain. He was diagnosed with a left traumatic diaphragmatic hernia due to the previous traffic accident; his condition was also complicated by shock because the mediastinum was compressed by his severely dilated stomach. We performed an emergent operation. A thoracotomy revealed a large defect, about 5 cm in size, at the central tendon of the left diaphragm and a severely dilated stomach in the left thoracic cavity. The ruptured diaphragm was closed directly after reduction of the stomach.
Subject(s)
Hernia, Diaphragmatic, Traumatic/etiology , Shock/etiology , Thoracic Injuries/complications , Wounds, Nonpenetrating/complications , Accidents, Traffic , Hernia, Diaphragmatic, Traumatic/surgery , Humans , Male , Middle Aged , Thoracic Injuries/surgery , Wounds, Nonpenetrating/surgeryABSTRACT
A 74-year-old man who went into shock following an acute hemomediastinum and left hemothorax was operated on. Postoperative angiographies revealed a saccular aneurysm of the left bronchial artery of 2.0 cm in diameter. Sixty days after the initial operation, the aneurysm was resected under F-F bypass. A saccular aneurysm was found at the root of the left bronchial artery, which had a very short segment between the aneurysm and the aorta. Pathological study of aneurysm revealed thinning of the wall and lack of tunica media.
Subject(s)
Aneurysm, Ruptured/surgery , Bronchial Arteries , Aged , Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/pathology , Humans , Male , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
We report three cases of pulmonary arteriovenous fistula (PAVF) in which we performed limited resection. Case 1: female, 75 of age. CT and pulmonary angiography revealed PAVF of 2 cm in diameter in the right S8, and partial resection was performed. Case 2: female, 45 of age. CT and pulmonary angiography revealed PAVF of 7 cm in diameter in the right S10, and occlusion of fistula was performed. Case 3: male, 43 of age. CT pulmonary angiography and 3 D-CT revealed PAVF of 3 cm in diameter in the right S6, and occlusion of fistula was performed. The last case was accompanied by Rendu-Osler-Weber disease. Three patients showed a good postoperative course, without developing new fistula. Occlusion of fistula allows to close feeding artery and draining vein safely and securely. Considering invasion and preservation of pulmonary function after surgery, occlusion of fistula may be a primary option for treating PAVF.
