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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Multiple thoracolithiasis: An incidental finding.

E Rawstorne1, J Muzaffar1, M Hawari1

  • 1Birmingham Heartlands Hospital, UK.

Journal of Surgical Case Reports
|June 25, 2014
PubMed
Summary
This summary is machine-generated.

This case report details two rare benign intrapleural fibrotic masses, thoracoliths, found in the same chest cavity. Thoracolithiasis is a rare cause of incidental thoracic lesions.

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Area of Science:

  • Thoracic Surgery
  • Pathology
  • Radiology

Background:

  • Thoracoliths are uncommon benign intrapleural fibrotic structures.
  • Only 19 cases have been previously documented in medical literature.
  • This report describes the first instance of two thoracoliths in a single patient's hemithorax.

Purpose of the Study:

  • To report a unique case of dual thoracoliths within the same hemithorax.
  • To highlight thoracolithiasis as a differential diagnosis for incidental thoracic findings.

Main Methods:

  • Incidental identification of bilateral lesions via computed tomography (CT).
  • Surgical excision using video-assisted thoracic surgery (VATS).
  • Histopathological examination of the resected lesions.

Main Results:

  • Two thoracoliths, measuring 20mm and 14mm, were surgically removed.
  • Histology confirmed dense collagen shells surrounding necrotic fat cores.
  • Lesions were asymptomatic and remained immobile on serial imaging.

Conclusions:

  • Thoracolithiasis is a rare differential diagnosis for multiple, non-mobile, incidental thoracic lesions.
  • Video-assisted thoracic surgery is an effective method for thoracolith removal.
  • This case expands the understanding of thoracolith presentation.