Surgical Resections of Superinfected Pneumatoceles in a COVID-19 Patient.

Castiglioni, Massimo; Pelosi, Giuseppe; Meroni, Alberto; Tagliabue, Marta; Uslenghi, Elisabetta; Salaris, Davide; Incarbone, Matteo · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

Emerging studies on radiologic findings in patients with coronavirus disease 2019 (COVID-19) report a high incidence of bilateral lung involvement, with ground-glass opacities imaging being the most common pattern on computed tomography. Cystic lesions, such as pneumatoceles, are rare, although they may occur in 10% of cases. Cyst formation may be explained by a focal pulmonary trauma caused by mechanical ventilation or infection-related damage to the alveolar walls leading to pneumatoceles. The superinfection of pneumatoceles is a potential life-threatening condition for which no standardized therapeutic algorithm has been accepted. We report a case of a COVID-19 patient successfully treated by lung resections for infected pneumatoceles.

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