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An unusual bronchial obstruction in a fit young man

An unusual bronchial obstruction in a fit young man
An unusual bronchial obstruction in a fit young man
We describe the case of a previously well young man who presented acutely to hospital with a history of progressive chest symptoms and systemic upset. At admission, clinical evidence of left upper lobe collapse on respiratory examination and chest x-ray gave rise to significant clinical concern. Initial assessment by CT suggested a possible aspirated foreign body in the left upper lobe bronchus with distal left upper lobe collapse. Subsequent rigid bronchoscopy identified a solid abnormality totally occluding the left upper lobe bronchus, which did not appear to be a foreign body. The patient became progressively more unwell with clinical signs of chest sepsis and failed to settle with medical therapy. A decision was made to undertake a lobectomy to remove the collapsed lobe and obstructing endobronchial lesion. Histology confirmed that the cause of bronchial obstruction was a mesenchymoma (pulmonary hamartoma).
Adult, Airway Obstruction/diagnosis, Bronchi/pathology, Bronchial Diseases/complications, Bronchoscopy, Diagnosis, Differential, Foreign Bodies/diagnosis, Hamartoma/complications, Humans, Male, Pneumonectomy, Tomography, X-Ray Computed
1757-790X
Freeman, Anna
3d83f907-e7ce-4649-a018-a7a31b19f934
Weeden, David
7a7fc8ae-070d-47db-909a-b408a3cf387b
Wilkinson, Jane
2eab5733-e987-4e00-95af-b15801d303e2
Kurukulaaratchy, Ramesh J.
9c7b8105-2892-49f2-8775-54d4961e3e74
Freeman, Anna
3d83f907-e7ce-4649-a018-a7a31b19f934
Weeden, David
7a7fc8ae-070d-47db-909a-b408a3cf387b
Wilkinson, Jane
2eab5733-e987-4e00-95af-b15801d303e2
Kurukulaaratchy, Ramesh J.
9c7b8105-2892-49f2-8775-54d4961e3e74

Freeman, Anna, Weeden, David, Wilkinson, Jane and Kurukulaaratchy, Ramesh J. (2013) An unusual bronchial obstruction in a fit young man. BMJ Case Reports, 2013. (doi:10.1136/bcr-2012-007766).

Record type: Article

Abstract

We describe the case of a previously well young man who presented acutely to hospital with a history of progressive chest symptoms and systemic upset. At admission, clinical evidence of left upper lobe collapse on respiratory examination and chest x-ray gave rise to significant clinical concern. Initial assessment by CT suggested a possible aspirated foreign body in the left upper lobe bronchus with distal left upper lobe collapse. Subsequent rigid bronchoscopy identified a solid abnormality totally occluding the left upper lobe bronchus, which did not appear to be a foreign body. The patient became progressively more unwell with clinical signs of chest sepsis and failed to settle with medical therapy. A decision was made to undertake a lobectomy to remove the collapsed lobe and obstructing endobronchial lesion. Histology confirmed that the cause of bronchial obstruction was a mesenchymoma (pulmonary hamartoma).

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More information

Published date: 9 January 2013
Keywords: Adult, Airway Obstruction/diagnosis, Bronchi/pathology, Bronchial Diseases/complications, Bronchoscopy, Diagnosis, Differential, Foreign Bodies/diagnosis, Hamartoma/complications, Humans, Male, Pneumonectomy, Tomography, X-Ray Computed

Identifiers

Local EPrints ID: 446566
URI: http://eprints.soton.ac.uk/id/eprint/446566
ISSN: 1757-790X
PURE UUID: aec33be4-b1a9-4700-ae00-8d1a08e6d37d
ORCID for Ramesh J. Kurukulaaratchy: ORCID iD orcid.org/0000-0002-1588-2400

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Date deposited: 15 Feb 2021 17:31
Last modified: 18 Feb 2021 16:54

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Contributors

Author: Anna Freeman
Author: David Weeden
Author: Jane Wilkinson

University divisions

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