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Giant pulmonary bulla with mediastinal shift in a 12 1/2 year old girl

Saulat Hasnain Fatimi1, Asif Jafferani, Awais Ashfaq

  • 1Department of Surgery, The Aga Khan University, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|July 5, 2012
PubMed

Insights

A large pulmonary cyst caused respiratory distress and mediastinal deviation in a 12-year-old girl. Surgical removal revealed fungal hyphae, successfully treated with Fluconazole, highlighting rare pediatric lung cyst presentations.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Medical Mycology

Background:

  • Pulmonary bullae in children are typically congenital bronchopulmonary foregut malformations or acquired pneumatocoeles.
  • Large pulmonary cysts can present with significant mass effects, including mediastinal deviation.

Observation:

  • A 12-year-old girl presented with acute respiratory distress due to a large pulmonary cyst.
  • The cyst caused mass effect, leading to mediastinal deviation.

Findings:

  • Surgical excision of the pulmonary cyst revealed fungal hyphae.
  • Postoperative treatment with Fluconazole was effective against the fungal infection.

Implications:

  • This case highlights a rare presentation of a pulmonary cyst in an older child.
  • It underscores the importance of considering fungal infections in pediatric pulmonary cysts presenting with mass effect.

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