Journal of Isfahan Medical School

Journal of Isfahan Medical School

Successful Treatment of Total Lung Collapse Due to Pulmonary Endobronchial Inflammatory Pseudotumor by Bronchoscopy: A Case Report

Document Type : Case Report

Authors
Masoud Nazemiyeh 1
Monireh Halimi 2
Masoud Nouri-Vaskeh 3
Akbar Sharifi 4
1 Assistant Professor, Tuberculosis and Lung Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Associate Professor, Department of Pathology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
3 Student of Medicine, Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor, Tuberculosis and Lung Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
10.22122/jims.v37i523.11710
Abstract
Background: Inflammatory pseudotumor is a benign pulmonary tumor of unknown origin which is more common in young adults and children. In this study, successful treatment of total lung collapse using rigid bronchoscopy is reported.Case Report: The patient was a 22-year-old woman with respiratory signs and symptoms and obstructive spirometry pattern. Computed tomography (CT) scan findings represented a total lung collapse after one month of beginning the symptoms. Fiberoptic bronchoscopy showed an endobronchial mass with total left lung collapse, and there was no evidence of malignancy in the biopsy. The patient underwent rigid bronchoscopy, and the endobronchial mass was completely removed. After total removal of the mass using rigid bronchoscopy, total left lung collapse was completely improved, and patient’s signs and symptoms resolved. There was no evidence of recurrence in the follow-up using chest X-ray and fiberoptic bronchoscopy.Conclusion: Inflammatory pseudotumor may have acute presentations, and present with total lung collapse. Rigid bronchoscopy can be considered as a less invasive approach than thoracotomy in patients with pulmonary inflammatory pseudotumor.
Keywords
Inflammatory pseudotumor
Bronchoscopy
Lung
Benign neoplasms
  1. Oteo Dominguez JF, Yebra BM, Varela de UA, Berrocal VE, Perez RM, Cajal S. Endobronchial inflammatory pseudotumor. A case report and review of the literature. Arch Bronconeumol 1994; 30(1): 52-5. [In Spanish].
  2. Marwah N, Bhutani N, Dahiya S, Sen R. Inflammatory pseudotumour: A rare tumor of lung. Ann Med Surg (Lond) 2018; 36: 106-9.
  3. Alexiou C, Obuszko Z, Beggs D, Morgan WE. Inflammatory pseudotumors of the lung. Ann Thorac Surg 1998; 66(3): 948-50.
  4. Sulu E, Damadoglu E, Berk TH, Kuzu OH, Koroglu E, Yilmaz A. A case of endobronchial inflammatory pseudotumor invading the mediastinum. Tuberk Toraks 2011; 59(1): 77-80.
  5. Kim JH, Cho JH, Park MS, Chung JH, Lee JG, Kim YS, et al. Pulmonary inflammatory pseudotumor--a report of 28 cases. Korean J Intern Med 2002; 17(4): 252-8.
  6. Chaudhry IA, Shamsi FA, Arat YO, Riley FC. Orbital pseudotumor: distinct diagnostic features and management. Middle East Afr J Ophthalmol 2008; 15(1): 17-27.
  7. Reddy RZ, Carter YM, Hsia DW. Pulmonary inflammatory pseudotumor causing lung collapse responding to corticosteroid therapy. Respir Med Case Rep 2018; 24: 113-6.
  8. Paya LC, Galbis Caravajal JM, Mafe Madueno JJ, Baschwitz GB, Rodriguez-Paniagua JM, Alenda GC. Intraparenchymal pulmonary inflammatory pseudotumors. Arch Bronconeumol 2003; 39(11): 527-30. [In Spanish].
  9. Gal AA, Koss MN, McCarthy WF, Hochholzer L. Prognostic factors in pulmonary fibrohistiocytic lesions. Cancer 1994; 73(7): 1817-24.
  10. Hedlund GL, Navoy JF, Galliani CA, Johnson WH. Aggressive manifestations of inflammatory pulmonary pseudotumor in children. Pediatr Radiol 1999; 29(2): 112-6.
  11. Narla LD, Newman B, Spottswood SS, Narla S, Kolli R. Inflammatory pseudotumor. Radiographics 2003; 23(3): 719-29.
  12. Doski JJ, Priebe CJ, Driessnack M, Smith T, Kane P, Romero J. Corticosteroids in the management of unresected plasma cell granuloma (inflammatory pseudotumor) of the lung. J Pediatr Surg 1991; 26(9): 1064-6.
  13. Tabatabaee SA, Hashemi SM, Moradi M. Evaluation of frequency of bronchopleural fistula in patients undergoing pulmonary resection. J Isfahan Med Sch 2011; 29(140): 634-7. [In Persian].
  14. Agrons GA, Rosado-de-Christenson ML, Kirejczyk WM, Conran RM, Stocker JT. Pulmonary inflammatory pseudotumor: Radiologic features. Radiology 1998; 206(2): 511-8.
  15. Berardi RS, Lee SS, Chen HP, Stines GJ. Inflammatory pseudotumors of the lung. Surg Gynecol Obstet 1983; 156(1): 89-96.
  16. Cerfolio RJ, Allen MS, Nascimento AG, Deschamps C, Trastek VF, Miller DL, et al. Inflammatory pseudotumors of the lung. Ann Thorac Surg 1999; 67(4): 933-6.
Journal of Isfahan Medical School
Volume 37, Issue 523 - Serial Number 523
March and April 2019
Pages 400-403

  • Receive Date 07 May 2019
  • Accept Date 06 April 2022