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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 |
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