Video-assisted thoracic surgery for pulmonary aspergilloma in patients with anorexia nervosa.
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.
Takushima
Mina
M
Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan. mina-t@nms.ac.jp
Haraguchi
Shuji
S
Hioki
Masafumi
M
Endou
Naoya
N
Kawamura
Jun
J
Yamashita
Yasuo
Y
Orii
Koan
K
Yamashita
Koji
K
Matumoto
Koshi
K
Shimizu
Kazuo
K
D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D001228:Aspergillosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications / Q000601:surgery*; D009894:Opportunistic Infections / Q000150:complications / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome