2015 Volume 29 Issue 1 Pages 84-88
A 71-year-old woman with a previous history of bronchiectasis and nontuberculous mycobacteriosis consulted for fever and left chest pain in June 2013. We diagnosed her with pneumothorax with a severe inflammatory reaction. Chest CT after drainage showed a shadow, considered to be a bronchial fistula of a collapsed nodule, in the left S6 that had been identified previously. She showed no improvement, and so we performed surgery. The air leakage caused by the nodule in the left S6 was detected, and we performed left S6 segmentectomy. The specimen showed a nodule with a fistula of 2.5×1.7 cm. Microscopic findings showed nodules with central necrosis surrounded by epithelioid cells and Langhans giant cells. Mycobacterium abscessus was detected in the culture of the pre- and intraoperative effusion. Surgery is an important treatment method for secondary pneumothorax due to pulmonary nontuberculous mycobacteriosis.
