2020 Volume 34 Issue 1 Pages 91-96
We herein report a rare case of completion pneumonectomy involving a patient who developed relapse in the ipsilateral residual lung after surgery for pulmonary aspergillosis and whose recurrent lesion caused contralateral pneumonia as the infection source. A 64-year-old man who had undergone left upper lobectomy+left S6 segmentectomy for pulmonary aspergillosis 9 years previously visited our hospital because of cough, sputum production, appetite loss, and body weight loss. Chest computed tomography revealed right-sided pneumonia and a left pulmonary abscess. He was admitted to the hospital and treated with antibiotics and an antifungal agent. His right pneumonia improved, but the left pulmonary abscess did not; therefore, we performed left completion pneumonectomy. His postoperative clinical course was uneventful, and he was discharged from our hospital on postoperative day 30. Histopathological examination revealed that the lesion had been caused by Aspergillus infection. He remained well with no evidence of recurrence for 8 years postoperatively.