Journal of

Case Reports and Images in Surgery

 
     
Case Report
 
Postoperative pulmonary lymphedema after lobectomy and mediastinal nodal dissection for lung cancer
Ryota Sumitomo1, Takamasa Fukui1, Yosuke Otake1, Cheng-long Huang1
1MD, Department of Thoracic Surgery, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan

Article ID: 100044Z12RS2017
doi:10.5348/Z12-2017-44-CR-9

Address correspondence to:
Ryota Sumitomo
Department of Thoracic Surgery
Tazuke Kofukai Medical Research Institute
Kitano Hospital, 2-4-20 Ohgimachi, Kita-ku
Osaka 530-8480
Japan

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How to cite this article:
Sumitomo R, Fukui T, Otake Y, Cheng-long H. Postoperative pulmonary lymphedema after lobectomy and mediastinal nodal dissection for lung cancer. J Case Rep Images Surg 2017;3:35–37.


ABSTRACT

Introduction: Lymphedema can arise due to disruption of the normal lymphatic circulation by surgery. We present a patient who had pulmonary lymphedema after thoracoscopic right lower lobe lobectomy and mediastinal nodal dissection for lung cancer.
Case Report: A 72-year-old male presented with dyspnea two days after thoracoscopic right lower lobe lobectomy and mediastinal nodal dissection for lung cancer. Postoperative pulmonary lymphedema was diagnosed because of the transition of pulmonary shadow in two computed tomography scans obtained in different body positions. He was given oxygen till the fourth postoperative day, and the abnormal shadow gradually disappeared. He was discharged on the 14th postoperative day.
Conclusion: Postoperative pulmonary lymphedema presents radiological findings of enlargement of interstitial shadow with ground-glass attenuation and consolidation, which resemble life-threatening complications including acute lung injury or acute respiratory distress syndrome, interstitial pneumonia, and heart failure. The shadow transition between two computed tomography images obtained in different body positions is considered to be useful to diagnose postoperative pulmonary lymphedema.

Keywords: Postoperative complication, Pulmonary lymphedema, Lobectomy


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Author Contributions
Ryota Sumitomo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Takamasa Fukui – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yosuke Otake – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Cheng-long Huang – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ryota Sumitomo et al. This article is distributed of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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