Placental Transmogrification of the Lung in a Patient Without Emphysematous Disease

TL;DR

A 47-year-old man with no prior lung issues developed lung symptoms after a mild COVID-19 infection and was treated with surgery for a lung bulla.

Contribution

The case highlights the importance of surgical management for placental transmogrification of the lung.

Findings

The patient presented with mMRC-2 dyspnea and a non-expectorant cough after a mild COVID-19 infection.

A CT scan revealed a left pericardial bulla, which was surgically removed via video-assisted thoracoscopic surgery.

The patient had an adequate post-surgical recovery, emphasizing the role of multidisciplinary care in such cases.

Abstract

We present a 47-year-old male without a relevant history or past respiratory diseases. He debuted with an acute, non-complicated COVID-19 infection, and later he started with mMRC-2 dyspnea, accompanied by a non-expectorant cough of four months evolution. A CT thoracic scan showed a dilatation of the aerial homogenous space and a well-defined anterior left pericardiac level, and a pericardial left bulla was diagnosed. The patient was treated with surgical intervention by video-assisted thoracoscopic surgery and had an adequate post-surgical evolution. The PPT must be managed by a multidisciplinary team with the definitive treatment of surgical resection.

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