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Endobronchial inflammatory pseudotumor: a rare cause of a pneumothorax in children

Tarek El-Desoky1, Nehad Nasef, Engy Osman

  • 1Department of Paediatrics, Mansoura University Children's Hospital, Mansoura, Dakahlia, Egypt.

Journal of Bronchology & Interventional Pulmonology
|July 17, 2013
PubMed

Insights

This case study details an inflammatory pseudotumor in a child, a rare non-neoplastic lung condition. It highlights the first reported instance of this condition presenting as tension pneumothorax.

Area of Science:

  • Pulmonology
  • Pediatric Oncology
  • Thoracic Surgery

Background:

  • Inflammatory pseudotumors (IPTs) are rare, non-neoplastic lung lesions, typically originating in the lung parenchyma.
  • Endobronchial IPTs are exceptionally uncommon, posing diagnostic challenges.
  • Early diagnosis and management are crucial for favorable outcomes in pediatric lung conditions.

Observation:

  • A 9-year-old girl presented with acute left-sided tension pneumothorax and subcutaneous emphysema.
  • Imaging revealed an ill-defined left lung mass causing left main bronchus obstruction.
  • Recurrent symptoms despite initial bronchoscopic intervention prompted further investigation.

Findings:

  • Histological examination confirmed the mass as an inflammatory pseudotumor.
  • The patient underwent a left upper lobectomy for definitive treatment.
  • Complete symptom resolution was achieved post-surgery.

Implications:

  • This case represents the first documented instance of inflammatory pseudotumor presenting with tension pneumothorax.
  • Highlights the importance of considering IPTs in pediatric patients with obstructive lung masses and respiratory distress.
  • Emphasizes the need for thorough histopathological evaluation for accurate diagnosis and appropriate surgical management.

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