A Case of Post-Traumatic Pulmonary Pseudocyst Mimicking Pulmonary Cavitary Tuberculosis.
10.4046/trd.2009.67.5.467
- Author:
Hyun Jeong LEE
1
;
Ji Young KANG
;
Sun Mie YIM
;
Eun Hye JI
;
Ji Hyun KIM
;
Sei Won KIM
;
Sang Haak LEE
;
Hwa Sik MOON
;
Bae Young LEE
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. mdlee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Lung Injury;
Cysts;
Wounds and Injuries;
Cavity
- MeSH:
Adult;
Biopsy;
Bronchi;
Bronchoscopy;
Cough;
Hemorrhage;
Humans;
Lung;
Lung Injury;
Male;
Motorcycles;
Thorax;
Tuberculosis;
Tuberculosis, Pulmonary
- From:Tuberculosis and Respiratory Diseases
2009;67(5):467-470
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A traumatic pulmonary pseudocyst is a rare complication of blunt thoracic trauma. The clinical symptoms and signs are similar to other respiratory diseases, such as pulmonary tuberculosis. Therefore, a trauma history with the resulting radiologic and clinical findings is important for making a diagnosis. A 26-year-old male was admitted to our hospital due to cough for 3 days. The chest x-ray revealed diffuse infiltrations and a cavitary lesion at the left lung. His left chest had hit a tree as a result of motorcycle accident one day before admission. Initially, it was assumed that his symptoms and chest X-ray might be due to a tuberculosis infection. However, bronchoscopy revealed old blood clots at both lungs, particularly in the left lower lobe bronchus. A transbronchial lung biopsy showed alveolar hemorrhage. A traumatic pulmonary pseudocyst was diagnosed from his trauma history and these findings. Computed tomography of the chest performed 4 months later showed regression of the cavitary lesion.
