Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e8-e11
DOI: 10.1055/a-2234-7907
Case Report

Pedicled Omentoplasty for Treatment of Rheumatoid Nodule Pneumothorax: A Case Report

Hiroki Matsumiya
1   Second Department of Surgery, University of Occupational and Environmental Health Japan, Kitakyushu, Japan
,
Koji Kuroda
1   Second Department of Surgery, University of Occupational and Environmental Health Japan, Kitakyushu, Japan
,
Teppei Hashimoto
1   Second Department of Surgery, University of Occupational and Environmental Health Japan, Kitakyushu, Japan
,
Fumihiro Tanaka
1   Second Department of Surgery, University of Occupational and Environmental Health Japan, Kitakyushu, Japan
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Background No consensus exists regarding surgical intervention for rheumatoid nodule–related pneumothorax. Clinical policy decisions rely on individual clinicians' experience and are usually intractable.

Case Description A 50-year-old man with a difficult-to-treat rheumatoid arthritis–related pneumothorax was successfully treated with pedicle omentoplasty without recurrence at approximately 2 years posttreatment. To the best of our knowledge, this is the first report of a patient where pneumothorax did not recur due to firm adhesions despite fluctuating postoperative rheumatoid nodules, as captured by regular computed tomography imaging follow-ups.

Conclusion Pedicled omentoplasty is effective for rheumatoid nodule–related pneumothorax as it reduces pneumothorax recurrence.

Keywords

pedicled omentoplasty - omentum - rheumatoid pleural nodules - intractable secondary pneumothorax - rheumatologists

Authors' Contribution

H.M., K.K., T.H., and F.T. were directly involved in the treatment of the patient. H.M. obtained patient data and wrote the first version of the manuscript. All the authors critically revised the manuscript.


Ethical Approval

This case report was approved by an independent medical ethics committee, and written informed consent was obtained from the patient.




Publication History

Received: 10 July 2023

Accepted: 19 December 2023

Accepted Manuscript online:
22 December 2023

Article published online:
12 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Adelman HM, Dupont EL, Flannery MT, Wallach PM. Case report: recurrent pneumothorax in a patient with rheumatoid arthritis. Am J Med Sci 1994; 308 (03) 171-172
    Google Scholar
  • 2 Rueth N, Andrade R, Groth S, D'Cunha J, Maddaus M. Pleuropulmonary complications of rheumatoid arthritis: a thoracic surgeon's challenge. Ann Thorac Surg 2009; 88 (03) e20-e21
    Google Scholar
  • 3 Matsumiya H, Mori M, Kanayama M. et al. Thickened parietal pleural covering in intractable pneumothorax: a case report. Ann Med Surg (Lond) 2022; 78: 103792
    Google Scholar
  • 4 Kubo S, Nakayamada S, Tanaka Y. JAK inhibitors for rheumatoid arthritis. Expert Opin Investig Drugs 2023; 32 (04) 333-344
    Google Scholar
  • 5 Corcoran JP, Ahmad M, Mukherjee R, Redmond KC. Pleuro-pulmonary complications of rheumatoid arthritis. Respir Care 2014; 59 (04) e55-e59
    Google Scholar
  • 6 Levashev YN, Akopov AL, Mosin IV. The possibilities of greater omentum usage in thoracic surgery. Eur J Cardiothorac Surg 1999; 15 (04) 465-468
    Google Scholar
  • 7 Kitano M. Omentoplasty in thoracic surgery. Gen Thorac Cardiovasc Surg 2008; 56 (10) 483-489
    Google Scholar
  • 8 Simon TA, Thompson A, Gandhi KK, Hochberg MC, Suissa S. Incidence of malignancy in adult patients with rheumatoid arthritis: a meta-analysis. Arthritis Res Ther 2015; 17 (01) 212
    Google Scholar