Abstract
A 20-year-old male was diagnosed with a lung abscess. He was treated with antibiotics as an outpatient. But the lung abscess showed deterioration on chest X-ray and chest CT. He was consequently admitted to our hospital. Although we changed and increased the dose of anbiotics, the lung abscess showed no improvement. So, we considered surgical treatment. At first, we performed percutaneous lung drainage. The lung abscess was improved temporarily, but the abscess cavity subsequently enlarged and the wall of the cavity became thin. Then, we performed a left upper division segmentectomy. No complications occurred during the operation. Lung abscess may still require surgical treatment on a case by case basis.