Abstract
Benign neoplasm of the endobronchial tree is quite rare, while endobronchial lipoma is extremely rare. The irreversible pulmonary damage is due to progressive bronchial obstruction; even so, pleural empyema is exceptionally encountered in a case of endobronchial lipoma. We report a case of a 47-year-old man who had left lung pneumonia with hemoptysis. The chest computed tomography showed cystic bronchiectasis with pleural effusion, Flexible bronchoscopy revealed a round tumor on the left main bronchus.
Highlights
Endobronchial lipoma is an uncommon benign tumor, 127 cases have been reported till
The irreversible pulmonary damage is due to progressive bronchial obstruction; even so, pleural empyema is exceptionally encountered in a case of endobronchial lipoma
We report a case of a 47-year-old man who had left lung pneumonia with hemoptysis
Summary
Endobronchial lipoma is an uncommon benign tumor, 127 cases have been reported till now. We report the case of endobronchial lipoma complicated by chronic cystic bronchiectasis and pleural empyema. Case presentation A 46-year-old man African origin and Moroccan nationality who had been treated for a pulmonary tuberculosis in his childhood. The patient suffered for many years from chronic bronchitis and chronic left-side pneumonia, treated each time with amoxicillin-clavulanic acid. He was admitted in the emergency department with a temperature of 39°C, sputum production, hemoptysis and pleuritic chest pain. The diagnosis of endobronchial lipoma associated to chronic cystic bronchiectasis complicated by pleural effusion was suggested. The endobronchial tumor mainly contains a mature fatty tissue surrounded by respiratory epithelium; whereas the submucosa contains a moderate number of chronic inflammatory cells. The patient had an uncomplicated postoperative course, he was discharged 9 days after the operation, and was asymptomatic after 36-month follow-up
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