Diagnosis and management of post-traumatic pulmonary pseudocyst

Respir Care. 2009 Apr;54(4):538-41.

Abstract

Post-traumatic pulmonary pseudocyst is an uncommon cavitary lesion of the lung, which generally develops after blunt chest trauma. We saw a 22-year-old man with chest trauma, hemopneumothorax, and hemoptysis, on the day he fell from an electrical pylon. Intubation in the emergency department was followed by 4 days of mechanical ventilation. Computed tomogram found a post-traumatic pulmonary pseudocyst. On hospital day 6 he developed pneumonia, which we treated with ceftazidime plus gentamycin. He was discharged on hospital day 20, and a month later the pseudocyst had resolved without complications. Diagnosis of post-traumatic pulmonary pseudocyst may require computed tomography, and some complicated cases may require surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cysts / diagnosis*
  • Cysts / etiology
  • Cysts / physiopathology
  • Cysts / therapy*
  • Humans
  • Lung Diseases / diagnosis*
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / etiology
  • Lung Diseases / physiopathology
  • Lung Diseases / therapy*
  • Male
  • Thoracic Injuries / complications*
  • Tomography, X-Ray Computed