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Published on: September 19, 2019
Primary Pleural Inflammatory Pseudotumor in a Child
Jayalaxmi S Aihole1, Hemalatha Lokanath2, Narendra Babu Munianjinappa3
1Departments of Pediatric Surgery, IGICH, Bangalore, Karnataka, India. Correspondence to: Dr Jayalaxmi S Aihole, Assistant Professor, Department of Pediatric Surgery, IGICH, Bangalore, Karnataka, India. jayalaxmisaihole@yahoo.com.
Background:
Inflammatory pseudo tumor, a rare non-neoplastic lesion, commonly presents as slow growing solid lesion in the lung, but many extra-pulmonary locations have been described.
Case Characteristics:
A 4-year-old girl who presented with respiratory distress due to massive pleural effusion. Computed tomography revealed large hypodense non-enhancing lesion in the left hemi thorax. Surgical exploration revealed large semisolid pleural collection filled with gelatinous material with normal underlying lung.
Outcome:
Histopathology revealed spindle shaped cells with abundant myxoid stroma. Child recovered after surgery and was asymptomatic at 5 years follow-up.
Message:
Primary pleural inflammatory pseudotumor may be a rare cause of pleural effusion in a child.
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