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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Post COVID-19 large pneumatocele: clinical and pathological perspectives
Abdel-Mohsen Mahmoud Hamad1,2, Hala Ahmed El-Saka3
1Department of Thoracic Surgery, King Fahd Specialist Hospital, Buraydah, Saudi Arabia.
A COVID-19 patient developed pneumothorax and cystic air spaces post-discharge. Surgery revealed a large pneumatocele, indicating a severe post-viral lung complication.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Infectious Diseases
Background:
- COVID-19 can lead to various pulmonary complications.
- Post-discharge respiratory distress requires thorough investigation.
Observation:
- A middle-aged male patient presented with dyspnea and desaturation two weeks after COVID-19 discharge.
- Radiological imaging showed right pneumothorax and cystic air spaces in the lower lobe.
Findings:
- A large pneumatocele was identified and surgically treated via deroofing and air leak closure.
- Histopathology revealed extensive fibrosis, intra-alveolar hemorrhage, and pneumocyte hyperplasia.
Implications:
- Pneumatocele formation is a potential severe sequela of COVID-19 pneumonia.
- Early surgical intervention may be necessary for managing post-COVID-19 air leaks and cystic lung changes.
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