難治性肺結核手術後にChilaiditi症候群を起こした1例
1988 年 63 巻 8 号 p. 587-591
詳細
1988 年 63 巻 8 号 p. 587-591
A 55-year-old man was admitted because of productive cough and anorexia of 1-month's duration and a positive sputum smear of Mycobacterium tuberculosis.Since positive sputum smears continued even after 18-months' chemotherapy with isoniazidglucronate, ethambutol and enviomycin, the patient received lobectomy of the right upper and middle lobes.One month later a bronchothoracic fistula suddenly appeared.Despite twice surgical treatments against the fistula, it did not disappear.A chest roentgenogram revealed suprahepatic interposition of the colon, when the patient had complained of anorexia, abdominal pain and abdominal distension three years and half after the formation of bronchothoracic fistula.Then a diagnosis of Chilaiditi's syndrome was made.This case suggested that Chilaiditi's syndrome may occur due to the reduction of volume of the right thorax and lower lobe and changes in intrapulmonary pressure.
