Journal of Nippon Medical School: Vol.71 No.5 page.333

Journal of Nippon Medical School

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ArticleTitle Video-assisted Thoracic Surgery for Pulmonary Aspergilloma in Patients with Anorexia Nervosa

AuthorList Mina Takushima¹, Shuji Haraguchi¹, Masafumi Hioki¹, Naoya Endou¹, Jun Kawamura¹, Yasuo Yamashita¹, Koan Orii¹, Koji Yamashita¹, Koshi Matumoto² and Kazuo Shimizu³

Affiliation ¹Department of Surgery, Nippon Medical School Second Hospital
²Department of Pathology, Nippon Medical School Second Hospital
³Department of Surgery II, Nippon Medical School

Language EN

Volume 71

Issue 5

Year 2004

Page 333-336

Received February 17, 2004

Accepted April 27, 2004

Keywords pulmonary aspergilloma, video-assisted thoracic surgery, anorexia nervosa

Abstract We report a case of pulmonary aspergilloma in a 27-year-old woman with anorexia nervosa who underwent a video-assisted thoracic surgery (VATS) lobectomy. On admission, she had lost 38% of her original weight but the laboratory data were normal. She had refused treatment for anorexia nervosa for nine years ago and may have been predisposed to opportunistic conditions. The aspergilloma was developed in a simple bulla formed in the course of healing of a lung abscess and a VATS lobectomy was safely and cosmetically performed. Wedge resection was difficult due to the size of the lesion. The residual lobes expanded very well and the postoperative course was uneventful. VATS is considered to be an efficient method in the treatment of pulmonary aspergilloma in patients with better lung function and localized pulmonary disease.

Correspondence to Mina Takushima, Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
mina-t@nms.ac.jp

ArticleTitle	Video-assisted Thoracic Surgery for Pulmonary Aspergilloma in Patients with Anorexia Nervosa
AuthorList	Mina Takushima¹, Shuji Haraguchi¹, Masafumi Hioki¹, Naoya Endou¹, Jun Kawamura¹, Yasuo Yamashita¹, Koan Orii¹, Koji Yamashita¹, Koshi Matumoto² and Kazuo Shimizu³
Affiliation	¹Department of Surgery, Nippon Medical School Second Hospital ²Department of Pathology, Nippon Medical School Second Hospital ³Department of Surgery II, Nippon Medical School
Language	EN
Volume	71
Issue	5
Year	2004
Page	333-336
Received	February 17, 2004
Accepted	April 27, 2004
Keywords	pulmonary aspergilloma, video-assisted thoracic surgery, anorexia nervosa
Abstract	We report a case of pulmonary aspergilloma in a 27-year-old woman with anorexia nervosa who underwent a video-assisted thoracic surgery (VATS) lobectomy. On admission, she had lost 38% of her original weight but the laboratory data were normal. She had refused treatment for anorexia nervosa for nine years ago and may have been predisposed to opportunistic conditions. The aspergilloma was developed in a simple bulla formed in the course of healing of a lung abscess and a VATS lobectomy was safely and cosmetically performed. Wedge resection was difficult due to the size of the lesion. The residual lobes expanded very well and the postoperative course was uneventful. VATS is considered to be an efficient method in the treatment of pulmonary aspergilloma in patients with better lung function and localized pulmonary disease.
Correspondence to	Mina Takushima, Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan mina-t@nms.ac.jp