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The Journal of Thoracic and Cardiovascular Surgery, Vol 97, 309-312, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
R Kato, H Horinouchi and Y Maenaka
Twelve cases of traumatic pulmonary pseudocyst were seen between January
1966 and July 1987 at Saiseikai Kanagawaken Hospital. The cause of the
traumatic pulmonary pseudocyst was closed blunt chest trauma in all
patients. For the first few days after the injury, computed tomographic
scan was more useful in diagnosis than chest roentogenogram. Tube drainage
of the pleural cavity was performed in 10 patients who had hemothorax or
hemopneumothorax, and antibiotics were administered to all patients. No
patient underwent a surgical procedure, and all traumatic pulmonary
pseudocysts eventually resolved, without any specific treatment, within 1
to 4 months (average 1.8 month) after the trauma. We conclude that
pulmonary resection is not indicated except in the rare instance in which
the traumatic pulmonary pseudocyst becomes infected.
ARTICLES
Traumatic pulmonary pseudocyst. Report of twelve cases
Department of Surgery, Saiseikai Kanagawaken Hospital, Japan.
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