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Published on: May 21, 2018
[Pleural empyema associated with endobronchial lipoma]
A Casanova Espinosa1, C Cisneros Serrano, R M Girón Moreno
1Servicio de Neumología, Hospital Universitario de la Princesa, Madrid, Spain.
Endobronchial lipomas are rare lung tumors. This case highlights a rare instance of an endobronchial lipoma causing severe complications, successfully treated with laser resection.
Area of Science:
- Pulmonology
- Oncology
Background:
- Bronchial benign tumors are rare, representing less than 4% of pulmonary neoplasms.
- Endobronchial lipomas are extremely rare, accounting for only 0.1% to 0.5% of all lung tumors.
Observation:
- An 83-year-old man presented with community-acquired pneumonia.
- Complications included pleural empyema due to Haemophilus influenzae and right middle/lower lobe atelectasis.
- A lipomatous endobronchial obstruction was identified as the cause of atelectasis.
Findings:
- Computed axial tomography confirmed the adipose nature of the endobronchial tumor.
- Laser resection was successfully employed to remove the bronchial lipoma.
Implications:
- This case underscores the importance of considering rare benign tumors in the differential diagnosis of bronchial obstruction and associated complications.
- Timely diagnosis and intervention, such as laser resection, can effectively manage endobronchial lipomas and their sequelae.
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