title: An unusual bronchial obstruction in a fit young man.
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).
authors: Department of Respiratory Medicine, Southampton General Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
authors: Anna
authors: A
authors: Freeman
authors: David
authors: D
authors: Weeden
authors: Jane
authors: J
authors: Wilkinson
authors: Ramesh J
authors: RJ
authors: Kurukulaaratchy
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001980:Bronchi / Q000473:pathology*; D001982:Bronchial Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000175:diagnosis; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D014057:Tomography, X-Ray Computed