Source: Annual Congress 2002 - Chest trauma, airways and miscellaneous

Abstract

Post-traumatic pulmonary pseudocysts comprise 2.9% of all traumas associated with pulmonary paranchyma and 0.34% of all thoracic injuries.
We report five patients (4 male, 1 female) with pseodocysts hospitalized for blunt chest traumas for the last 5 years. The pseudocysts became apparent in chest x-rays taken within five days in three patients and within ten days in two patients. All the recognised pseudocysts localized in the right lung. The pseudocysts were single in two patients and multiple in the others. Three of the pseudocysts were type 1 and two were type 3 pseudocyst, which was associated with rib fractures, according to the Wagner's classification. Pseudocysts in three patients resolved in 1, 2.5 and 4 months respectively with medical treatment. However spontaneous resolution was not observed in the other two patients though a month of conservative treatment and pseudocysts progressed into tension cysts via growing into huge sizes so they were treated with surgical interventions. Cystectomy and decortication was undergone in one patient and cystectomy and capitonnage was performed in the other.
Post-traumatic pulmonary pseudocysts may occur anytime within 10 days after a blunt chest trauma so it is crutial to recognise this probability in a patient giving a trauma history.

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Citations should be made in the following way:
O. K. Aribas, F. Kanat (Konya, Turkey). Pulmonary pseudocysts developed after blunt chest traumas. Eur Respir J 2002; 20: Suppl. 38, 969

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