Korean J Thorac Cardiovasc Surg.
1997 Sep;30(9):941-944.
Pulmonary Infarction Associated with Facture of Right Clavicle and Multiple Ribs
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dongguk University, Korea.
- 2Department of Pathology, College of Medicine, Dongguk University, Korea.
- 3Department of Radiology, College of Medicine, Dongguk University, Korea.
Abstract
- Pulmonary infarction is rarely diagnosed with certainty except at postmortem examination. Part of this uncertainty is because of the inability to distinguish between hemorrhage, congestive a electasis, and necrosis clinically and radiographically. The pathogenesis of pulmonary infarction is poorly understood. It is dif%cult to induce pulmonary infarction in animals by ligation of the arterial supply to the lung. Many factors seem to be important in its pathogenesis, in addition to congestive heart failure, malignant tumor, thrombophlebitis, chronic obstructive lung disease, nephrotic syndrome, and postopeiative state. However, pulmonary infarction have not been reported in association with chest trauma. We report a case of pulmonary infarction associated with fractures of right clavicle and multiple ribs. A 45-year-old male had admitted due to right chest pain and dyspnea, which developed after right chest trauma occurred at about 3 weeks ago. He was treated at local clinics under the diagnosis of fractures of right clavicle and ribs until the admission. Chest CT disclosed a huge mass with central low density in right upper lobe, and small masses were also seen on both lung fields. Open lung biopsy resulted in negativity for the malignancy. Clinical symptoms and radiological findings were not improved by conservative treatment. Right upper lobectomy was done eventually. The final diagnosis was pulmonary infarction. And, the patient has been well after operation.
Keyword
MeSH Terms
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Animals
Autopsy
Biopsy
Chest Pain
Clavicle*
Diagnosis
Dyspnea
Estrogens, Conjugated (USP)
Heart Failure
Hemorrhage
Humans
Ligation
Lung
Male
Middle Aged
Necrosis
Nephrotic Syndrome
Pulmonary Disease, Chronic Obstructive
Pulmonary Infarction*
Ribs*
Thorax
Thrombophlebitis
Tomography, X-Ray Computed
Uncertainty
Estrogens, Conjugated (USP)
