Pulmonary Aspergillosis ; a case report and review of seven sugical cases

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 11; no. 4; pp. 570 - 574
• Main Author: Kamiya, Isao
• Format: Journal Article
• Language: English
• Published: The Japanese Association for Chest Surgery 1997
• Subjects: indication for surgery; pulmonary aspergillosis
• DOI: 10.2995/jacsurg.11.570
• ISSN: 0919-0945

A 56-year-old male was hospitalized because of hemoptysis. Chest X-rays showed a cavity in the right upper lung field. Aspergillus fumigatus was found in all sputum specimens. Treatment with antifungul drug did not induce remission. The upper and middle lobes of the right lung were resected and partial resection of S6 were performed. Because of postoperative empyema with fistula formation, total extirpation of the remaining lung and omentopexy were performed. Further, because of the relapse of bronchial fistula, bronchial fistula closure via median sternotomy was performed. However, this did not induce complete cure. In our hospital, 7 patients with pulmonary aspergillosis were treated surgically during the past five years. 5 cases were cured completely without any complications. However, one case developed postoperative lung fistula and another developed empyema with fistula formation. Surgical treatment for pulmonary aspergillosis should obtain complete resection without any lesion remnant. In case of incomplete resection, procedures should be studied sufficiently considering the possibility of complication involving postoperative Aspergillus pyothorax.