ABSTRACT
A 30-year-old female was admitted to our hospital for chest pain and dyspnea We diagnosed lung abscess of the left lung. On day 2, the patient required mechanical ventilation for pneumopyothorax due to ruptured lung abscess with acute respiratory distress syndrome. We managed this patient antibiotics, sivelestat sodium hydrate and steroid pulse therapy. Curettage and decortication for empyema cavity and closure of bronchopleural fistula was done under video-assisted thoracic surgery with minithoracotomy on day 17. Postoperative course was uneventful.
Subject(s)
Empyema, Pleural/etiology , Empyema, Pleural/surgery , Lung Abscess/complications , Thoracic Surgery, Video-Assisted , Acute Disease , Adult , Female , Humans , Lung Abscess/pathology , Rupture, SpontaneousABSTRACT
We experienced a case of pulmonary pleomorphic carcinoma. This patient was a 67-year-old male and was admitted because of an abnormal lung shadow on chest X-ray. Transbronchial biopsy was performed to the polypoid lesion of the left B10, however dignosis was not confirmed. For the shadow was strongly suspisious for lung carcinoma left lower lobectomy was performed. The resected tumor was composed of spindle cell component and basaloid squamous cell carcinoma component indicating unusual pulmonary pleomorphic carcinoma. Seventeen months after operation the patient is alive without any sign of recurrence.
