Large aspergilloma cavity treated by Cavernostomy and ometal, muscle flaps: A case report.
- Author:
Jung Heui BANG
1
;
Seung Hwan PYUN
;
Jong Wok SEO
;
Pill Jo CHOI
;
Jong Soo WOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Aspergillosis, lung;
Omentoplasty;
Surgical flap
- MeSH:
Adult;
Aspergillus fumigatus;
Colon;
Cough;
Dyspnea;
Fever;
Hemoptysis;
Humans;
Lung;
Pulmonary Aspergillosis;
Radiography, Thoracic;
Respiratory Insufficiency;
Surgical Flaps;
Thoracoplasty;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(9):936-940
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary aspergilloma is potentially a life threatening disease resulting from the colonization of lung cavities by Aspergillus fumigatus. A case is reported: a 43-year-old man with symtomatic cavitary aspergilloma presenting with severe productive coughing, hemoptysis, occasional fever, and chilling. On preoperative plain chest radiograph and CT scan, we could find a rounded irregular opacity in a large pulmonary cavity. He received 2 separate operations for therapeutic need. At the first opertion, we performed cavernostomy and thoracoplasty because of severe pleural adhesions, tearing of cavity wall, and high risk of respiratory insufficiency. At the second operation, we performed myoplasty and omentoplasty for closure of remaining air space and complete wrapping of the BPF site. All symptoms of dyspnea and hemoptysis have since resolved. We believed that in the high risk patients who have severe respiratory symptoms, such as in aspergilloma and open cavity with a risk of respiratory insufficiency, cavernostomy followed by myoplasty or omentoplasty should be recommended.
