GIANT INTRATHORACIC PLEURAL LIPOMA- A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
PRESENTATION OF CASE A 3 years old male patient came to the Department of Radiodiagnosis, Assam Medical College, Dibrugarh, Assam with complaints of swelling over the right anterolateral chest wall associated with difficulty in breathing since 20 days. On examination there is a soft, non-tender swelling in the anterolateral aspect of right chest wall (Figure 1). The patient was found to have absent breath sounds and dullness on percussion in the right lower lung field. Laboratory findings were normal. The patient was subjected to a chest x-ray, which showed a large homogenous opacity in the right hemithorax obscuring the right hemidiaphragm, right cardiophrenic angle and right heart border and displacing the mediastinum to the contralateral side (Figure 2). Patient then underwent CT scan examination of the thorax that revealed a huge fat density (-65 to -105 Hounsfield units) lobulated lesion with scattered areas of soft tissue density and septations in right hemithorax causing passive collapse of the underlying right middle and lower lobe with contralateral mediastinal shift. The lesion was protruding anterolaterally into the extrapleural space through the 6th and 7th right intercostal spaces (Figure 3). A provisional diagnosis of intrathoracic pleural lipoma was made.
Authors and Affiliations
Hridoyjit Kakoti, Pronami Borah, Rajat Mala, Rudra Kanta Gogoi, Cheng Khow Weingken
Keywords
Related Articles
- EP ID EP279976
- DOI 10.14260/jemds/2017/1499
- Views 92
- Downloads 0
A CLINICAL STUDY OF GERIATRIC DERMATOSES
BACKGROUND Geriatric population is increasing worldwide. Hence, a proper understanding of geriatric skin disorders is important for a dermatologist. Though there are a large number of studies on the pattern of geriatric...
A PROSPECTIVE STUDY OF SCALPEL SKIN INCISION VERSUS DIATHERMY IN PATIENTS UNDERGOING INGUINAL HERNIOPLASTY
BACKGROUND Electrocautery is mainly used for haemostasis and less often for skin incisions. We have done a prospective study to compare the postoperative complications regarding skin incisions made by scalpel and electro...
THYROID MALIGNANCIES: A PROSPECTIVE STUDY IN A RURAL TEACHING MEDICAL COLLEGE HOSPITAL
Thyroid carcinoma is a heterogeneous disorder which affects all age groups. No single treatment plan exists because of long term survival of most patients with differentiated thyroid carcinoma, regardless of t...
EFFECTIVENESS OF LAPAROSCOPIC SUTURING VERSUS CLIP APPLICATION IN CHOLECYSTECTOMYOUR EXPERIENCE
BACKGROUND Laparoscopic cholecystectomy (LC) has become the gold standard treatment for symptomatic gall stone disease. Post cholecystectomy bile leak occurs mostly because of extra-hepatic bile duct injuries. It is a ra...
HYPERBILIRUBINAEMIA IN ACUTE APPENDICITIS AND ITS ROLE IN PREDICTING COMPLICATIONS, PARTICULARLY APPENDICULAR PERFORATION
BACKGROUND Appendicitis is a disease of young adults with 40% of cases occurring in patients between the ages of 10 and 29 years. Appendectomy is the most commonly performed urgent abdominal surgery. This study aims at r...