Large pulmonaly cyst in nonsmoker: Sporadic finding

Abstract

Cistična bolest pluća (CLD) je grupa oboljenja pluća koju karakteriše prisustvo multiplih cisti, definisanih kao translucencije ispunjene vazduhom ili zone niske atenuacije, oivičene tankim zidom (uglavnom < 4mm). Često se mešaju sa džinovskim bulama koje su uobičajene kod pacijenata sa emfizemom. Prikaz slučaja: Žena stara 76 godina sa prethodnom medicinskom istorijom o subokluzivnim smetnjama primljena je na odeljenje hirurgije. Uzgredno, prilikom preoperativnog pregleda RTG snimka grudnog koša uočena je džinovska bula u desnom plućnom krilu. Kompjuterizovana tomografija je potvrdila nalaz, ali zbog svoje debljine zida promena je svrstana u plućne ciste koje imaju potpuno drugačiji pristup u lečenju. Zbog toga, pacijentkinja nije podvrgnuta operaciji i lečena je konzervativno. Zaključak: Glavna razlika između džinovskih bula i plućnih cisti je debljina zida, ukoliko je od 1-4 mm radi se o plućnoj cisti, za razliku od bule čiji je zid tanji od 1 mm. Ključne reči: ciste, bule, HOBP, imidžing Summary: Cystic lung disease (CLD) is a group of lung disorders characterized by the presence of multiple cysts, defined as air-filled lucencies or low-attenuating areas, bordered by a thin wall (usually < 4 mm). It is very often mixed with giant bullaes which are common in patients with emphysema. Case report: A 76-year-old woman with a medical history of subocclusive disturbance was admitted to surgery department. Accidentally, during preoperative examination, chest X-ray revealed giant bullae in the right lung. CT scan confirmed it, but due to the wall thickness the changes have been classified into pulmonary cyst which have a completely different approach in treatment. Thus, patient underwent without surgery and was treated conservatively. Conclusion: The main difference between a giant bullae and a pulmonary cyst is in wall thickness, if it measures between 1 and 4 mm it is pulmonary cyst, unlike bullae whose wall is thinner than 1mm.