Computed tomography features of traumatic pulmonary pseudocysts

Year 2019, Volume: 5 Issue: 5, 763 - 767, 04.09.2019

Onur Taydaş , Burak Gümüş , Erdal Karavaş

https://doi.org/10.18621/eurj.420468

Abstract

Objectives:
To
discuss the radiological characteristics of traumatic pulmonary pseudocyst (TPP)
detected by thorax computed tomography.

Methods: Retrospective
screening was made of 107 patients applied with thorax computed tomography due
to blunt thoracic trauma between 2014 and 2017 at our hospital.

Results: TPP
was detected in 6 (5.6%) patients. The patients comprised 5 males and 1 female with
a mean age of 28 years (range, 15-49 years). Blunt thorax trauma was caused by
traffic accidents in 4 patients and a fall from height in 2 patients. Eleven (64.7%)
of the lesions were located in the lower lobes. The most common finding
associated with TPP was ground glass opacities, which were present in all of
the patients and represented the parenchymal contusion.

Conclusion: Thorax computed tomography is an
effective and reliable method for early and definitive diagnosis of the rare
development of TPP after blunt thoracic trauma. 

Keywords

traumatic pulmonary pseudocyst, blunt chest trauma, computed tomography

References

• [1] Chon SH, Lee CB, Kim H, Chung WS, Kim YH. Diagnosis and prognosis of traumatic pulmonary psuedocysts: a review of 12 cases. Eur J Cardiothorac Surg 2006;29:819-23.
• [3] Melloni G, Cremona G, Ciriaco P, Pansera M, Carretta A, Negri G, et al. Diagnosis and treatment of traumatic pulmonary pseudocysts. J Trauma 2003;54:737-43.
• [4] Athanassiadi K, Gerazounis M, Kalantzi N, Kazakidis P, Fakou A, Kourousis D. Primary traumatic pulmonary pseudocysts: a rare entity. Eur J Cardiothorac Surg 2003;23:43-5.
• [5] Luo L, Yin L, Liu Z, Xiang Z. Posttraumatic pulmonary pseudocyst: computed tomography findings and management in 33 patients. J Trauma Acute Care Surg 2012;73:1225-8.
• [6] Tsitouridis I, Tsinoglou K, Tsandiridis C, Papastergiou C, Bintoudi A. Traumatic pulmonary pseudocysts: CT findings. J Thorac Imaging 2007;22:247-51.
• [7] Cho HJ, Jeon YB, Ma DS, Lee JN, Chung M. Traumatic pulmonary pseudocysts after blunt chest trauma: Prevalence, mechanisms of injury, and computed tomography findings. J Trauma Acute Care Surg 2015;79:425-30.
• [8] Hazer S, Orhan Soylemez UP. Clinical features, diagnosis, and treatment of traumatic pulmonary pseudocysts. Ulus Travma Acil Cerrahi Derg 2018;24:49-55.
• [9] De A, Peden CJ, Nolan J. Traumatic pulmonary pseudocysts. Anaesthesia 2007;62:409-11.
• [10] Celik B, Basoglu A. Posttraumatic pulmonary pseudocyst: a rare complication of blunt chest trauma. Thorac Cardiovasc Surg 2006;54:433-5.