Endobronchial lipoma a rare cause of pleural empyema: a case report

Department of Thoracic Surgery, Ibn Sina University Hospital, Rabat, Morocco.
Cases Journal 07/2009; 2:6377. DOI: 10.4076/1757-1626-2-6377
Source: PubMed


Benign neoplasm of the endobronchial tree is quite rare, while endobronchial lipoma is extremely rare. The irreversible pulmonary damage is due to progressive bronchial obstruction; even so, pleural empyema is exceptionally encountered in a case of endobronchial lipoma. We report a case of a 47-year-old man who had left lung pneumonia with hemoptysis. The chest computed tomography showed cystic bronchiectasis with pleural effusion, Flexible bronchoscopy revealed a round tumor on the left main bronchus.

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Available from: Mohammed Bouchikh, Mar 26, 2014
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    • "When symptoms develop, they are usually manifest as recurrent infections, which, if remaining undiagnosed over time, can lead to bronchiectasis secondary to endobronchial obstruction2. Clinical manifestations of endobronchial lipoma are presented variably, cough, wheezing, hemoptysis, chest pain, atelectasis in chest X-ray, recurrent pneumonia, and, rarely, empyema3-5. The removal of endobronchial lipoma can be achieved by surgical or bronchoscopic methods; generally through rigid bronchoscopy2,6. "
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    ABSTRACT: A 62-year-old man with a chronic cough presented with atelectasis of the left upper lobe on chest X-ray. Chest computed tomography showed an atelectasis in the left upper lobe with bronchial wall thickening, stenosis, dilatation, and mucoid impaction. We performed bronchoscopy and found a well-circumscribed mass on the left upper lobe bronchus. The mass was removed by flexible bronchoscopy using an electrosurgical snare and diagnosed with lipoma. An endobronchial lipoma is a rare benign tumor that can be treated by a surgical or endoscopic approach. We report the successful removal of endobronchial lipoma via flexible bronchoscopic electrosurgical snare.
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