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Abstract

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Article in Japanese

Case Report

A case of a secondary lung abscess associated with congenital pulmonary airway malformation for which percutaneous abscess drainage was effective

Chie Yamamotoa  Yoshishige Kimurab  Yoshito Takeuchic  Satoru Okadad  Hiroaki Tsunezukad  Masayoshi Inoued 

aDepartment of Respiratory Medicine, Fukuchiyama City Hospital
bDepartment of Thoracic Surgery, Fukuchiyama City Hospital
cDepartment of Radiology, Fukuchiyama City Hospital
dDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of Medicine

ABSTRACT

A 19-year-old woman who presented with fever, cough, and sputum was diagnosed with a lung abscess. Since she had had a similar episode when she was 7 years old, it was considered to be a secondary lung abscess associated with congenital cystic lung disease. She was treated with multiple antibiotics, but her condition worsened to superior vena cava syndrome due to an increase in size of the abscess. We performed percutaneous drainage, and her condition improved promptly. There were no adverse events other than pain. A radical surgical resection was performed after drainage, and consequently the patient was diagnosed with congenital pulmonary airway malformation (CPAM). Percutaneous drainage for lung abscess is a minimally invasive and highly effective treatment method.

KEYWORDS

Lung abscess  Percutaneous drainage  Congenital pulmonary airway malformation (CPAM) 

Received 30 Jul 2020 / Accepted 8 Dec 2020

AJRS, 10(2): 163-167, 2021

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