Eur J Cardiothorac Surg 2002;21:337
© 2002 Elsevier Science NL
Images in cardio-thoracic surgery |
Pleural perforation of a saprophytic aspergilloma secondary to blunt chest trauma
Shunsuke Endo*,
Fumio Murayama,
Tsutomu Yamaguchi,
Yasunori Sohara
Thoracic and Cardiovascular Surgery Department, Jichi Medical School, Minamikawachi-machi, Kawachi-gun, Tochigi 329-0498, Japan
Received 20 September 2001;
received in revised form 8 November 2001;
accepted 13 November 2001.
* Corresponding author. Tel.: +81-285-58-7368; fax: +81-285-44-6271
e-mail: tcvshun{at}jichi.ac.jp
Key Words: Saprophytic aspergilloma • Perforation • Blunt chest trauma
A 58-year-old man who had been treated for a spherical tumor with meniscus sign, fell down from an electric pole during his work (Fig. 1
). Chest radiography and computed tomography (CT) demonstrated pleural perforation of a fungus ball with hydropneumothorax localizing in the lower pleural cavity (Fig. 2
). A right lower pleural lobectomy was performed.
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Fig. 1. Chest radiogram obtained elsewhere 2 years prior to the accident, showing a spherical calcified lesion, 2 cm in diameter, with a meniscus sign in the lower lung field.
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Fig. 2. Chest radiogram (A) and CT scan (B) on admission to our hospital showing a calcified tumor in the right superior lung segment. Hydropneumothorax in the lower pleural cavity is associated with a fistula from the tumor containing a layer of air.
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