Pulmonary Truncal Fistula Presenting with Cervical Pneumatocele: Late Complication of Vesicant Extravasation

化療藥劑滲漏併發慢性胸壁肺臟廔管及頸部氣瘤之外科處置－病例報告

楊順貿(Shun-Mao Yang) ； 徐紹勛(Hsao-Hsun Hsu) ； 陳晉興(Jin-Shing Chen)

《胸腔醫學》 Volume 31 Issue 5 (2016/10) Pp. 300-304

Abstracts

肺臟體壁廔管（pulmonary truncal fistula）是臨床上少見的併發症，通常沒有症狀，除非病程進展至出現體表氣瘤（pneumatocele）以致在外觀上可被察覺。本案例為一接受右鎖骨下靜脈人工血管置放之患者，因化療藥劑滲漏所導致局部慢性發炎併發肺臟體壁廔管，後續進展成為頸部氣瘤因而就診。患者同時接受胸腔鏡肺部廔管切除以及頸部清創後痊癒，後續追蹤並無復發。

Keywords

肺廔管 ； 氣瘤 ； 化療藥劑滲漏 ； 胸腔鏡手術

Parallel abstracts

Pulmonary truncal fistula is a rare occurrence, and may remain asymptomatic unless the pneumatic fistula progresses to a pneumatocele that can be identified easily. We report a case in which a patient who had previously undergone Port-A-Cath implantation via the right subclavian route developed a pulmonary truncal fistula that presented with a cervical pneumatocele caused by extravasation of the chemotoxic agent from the catheter. This case was successfully managed with thoracoscopic pulmonary fistulectomy with neck debridement.

Parallel keywords

pulmonary fistula ； pneumatocele ； vesicant extravasation ； thoracoscopy