Advertisement

Diagnosis and prognosis of traumatic pulmonary pseudocysts

  • Cihan BedelEmail author
  • Muharrem Özkaya
Original Article
  • 25 Downloads

Abstract

Purpose

Traumatic pulmonary pseudocysts (TPP) are rarely talked about, developing in less than 3% of patients with pulmonary parenchymal injuries. Resolution usually occurs within a few weeks to a few months.

Methods

A retrospective study was undertaken in 30 cases treated in Antalya Training and Research Hospital, Turkey, from January 2014 to December 2017.

Results

The 30 patients with TPP were 28 males (93.3%) and 2 females (6.7%) aged 14–64 years (mean age 31.9 years). Most of them are located in the right lower lobe (50%). The mean size of TPP was 2.07 cm. The overall resolution time for TPP was found to range from 8 to 124 days with a mean of 45.1 ± 32.9 days.

Conclusions

Computed tomography (CT) is a more beneficial than chest radiograph for early diagnosis. Physicians should control follow-up chest radiograph or CT scans until the pseudocyst resolves. Conservative treatment is acceptable in most cases, but intervention may be necessary if complications show up.

Keywords

Traumatic Pulmonary pseudocysts Emergency 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human rights/ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this study, formal consent was obtained.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Celik B, Basoglu A. Posttraumatic pulmonary pseudocyst: a rare complication of blunt chest trauma. Thorac Cardiovasc. 2006;54:433–5.CrossRefGoogle Scholar
  2. 2.
    Phillips B, Shaw J, Turco L, et al. Traumatic pulmonary pseudocyst: An underreported entity. Injury. 2017;48:214–20.CrossRefGoogle Scholar
  3. 3.
    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.CrossRefGoogle Scholar
  4. 4.
    Kato R, Horinouchi H, Maenaka Y. Traumatic pulmonary pseudocyst. Report of 12 cases. J Thorac Cardiovasc Surg. 1989;97:309–12.Google Scholar
  5. 5.
    Gupta N, George J, Gupta RC, Dixit R. Traumatic pulmonary pseudocyst. Int J Crit Illn Inj Sci. 2013;3:155–8.CrossRefGoogle Scholar
  6. 6.
    Kocer B, Gulbahar G, Gunal N, Dural K, Sakinci U. Traumatic pulmonary pseuodocysts: two case reports. J Med Case Rep. 2007;1:112.CrossRefGoogle Scholar
  7. 7.
    Santos GH, Mahendra T. Traumatic pulmonary pseudocysts. Ann Thorac Surg. 1979;27:359–62.CrossRefGoogle Scholar
  8. 8.
    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.CrossRefGoogle Scholar
  9. 9.
    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.CrossRefGoogle Scholar
  10. 10.
    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.CrossRefGoogle Scholar
  11. 11.
    Ulutas H, Celik MR, Ozgel M, Soysal O, Kuzucu A. Pulmonary pseudocyst secondary to blunt or penetrating chest trauma: clinical course and diagnostic issues. Eur J Trauma Emerg Surg. 2015;41:181–8.CrossRefGoogle Scholar
  12. 12.
    Tsitouridis I, Tsinoglou K, Tsandiridis C, Papastergiou C, Bintoudi A. Traumatic pulmonary pseudocysts: CT findings. J Thorac Imaging. 2007;22:247–51.CrossRefGoogle Scholar
  13. 13.
    Melloni G, Cremona G, Ciriaco P, et al. Diagnosis and treatment of traumatic pulmonary pseudocysts. J Trauma. 2003;54:737–43.CrossRefGoogle Scholar
  14. 14.
    Yang PJ, Tsai IT, Liu TH. Traumatic pulmonary pseudocyst. J Pediatr. 2015;167:777.CrossRefGoogle Scholar
  15. 15.
    Sorsdahl OA, Powell JW. Cavitary pulmonary lesions following non-penetrating chest trauma in children. Am J Roentgenol. 1965;95:118–24.CrossRefGoogle Scholar
  16. 16.
    Ganske JG, Dennis DL, Vanderveer JB. Traumatic lung cyst: case report and literature review. J Trauma. 1981;21:493–6.Google Scholar
  17. 17.
    Stulz P, Schmitt H, Hasse J, Grädel E. Traumatic pulmonary pseudocysts and paramediastinal air cyst: two rare complications of blunt chest trauma. J Trauma. 1984;24:850–3.CrossRefGoogle Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Health Science University Antalya Training and Research Hospital Emergency Medicine DepartmentAntalyaTurkey
  2. 2.Department of Thorasic SurgeryHealth Science University Antalya Training and Research HospitalAntalyaTurkey

Personalised recommendations