Korean J Thorac Cardiovasc Surg.  2016 Aug;49(4):302-305. 10.5090/kjtcs.2016.49.4.302.

Prolonged Air Leakage Caused by Mesenchymal Cystic Hamartoma of the Lung

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, Korea. yumc2000@hanmail.net

Abstract

A 16-year-old girl was transferred to the department of thoracic and cardiovascular surgery because of a spontaneous pneumothorax with prolonged air leakage. Chest computed tomography demonstrated a cystic lesion measuring 2×3 cm and involving the left upper lobe. Left upper lobectomy was performed via video-assisted thoracoscopic surgery. A pathologic examination of the specimen revealed a mesenchymal cystic hamartoma. Despite the rarity of pulmonary mesenchymal cystic hamartoma, it should be considered a potential cause of pneumothorax for patients with a large pulmonary cyst. Further, surgical resection must be considered because serious complications such as hemothorax, hemoptysis, and malignant transformation have been reported.

Keyword

Pneumothorax; Hamartoma; Lobectomy (lung)

MeSH Terms

Adolescent
Female
Hamartoma*
Hemoptysis
Hemothorax
Humans
Lung*
Pneumothorax
Thoracic Surgery, Video-Assisted
Thorax
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