Case Report
Pleural Empyema Associated With Endobronchial Lipoma
A. Casanova Espinosaa, C. Cisneros Serranoa, R.M. Girón Morenoa,
, M.J. Oliverab, R. Moreno Balsalobrec, E. Zamora Garcíaa
Corresponding author
lmrvelasco@mi.madritel.es
Correspondence: Dra. R.M. Girón Moreno. Servicio de Neumología. Hospital Universitario de La Princesa. Diego deLeón, 62. 28006 Madrid. España
Correspondence: Dra. R.M. Girón Moreno. Servicio de Neumología. Hospital Universitario de La Princesa. Diego deLeón, 62. 28006 Madrid. España
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"apellidos" => "Casanova Espinosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Cisneros Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:5 [ "preGrado" => "Dr." "nombre" => "R.M." "apellidos" => "Girón Moreno" "email" => array:1 [ 0 => "lmrvelasco@mi.madritel.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 3 => array:3 [ "nombre" => "M.J." "apellidos" => "Olivera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "R." "apellidos" => "Moreno Balsalobre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "E." "apellidos" => "Zamora García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario de la Princesa, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario de la Princesa, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario de la Princesa, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dra. R.M. Girón Moreno. Servicio de Neumología. Hospital Universitario de La Princesa. Diego deLeón, 62. 28006 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-06-24" "fechaAceptado" => "2004-06-29" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153994" "palabras" => array:3 [ 0 => "Endobronchial lipoma" 1 => "Empyema" 2 => "Laser therapy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153993" "palabras" => array:3 [ 0 => "Lipoma endobronquial" 1 => "Empiema" 2 => "Laserterapia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Bronchial benign tumors comprise fewer than 4% of pulmonary neoplasms. Endobronchial lipoma is an extremely rare benign neoplasm accounting for only 0.1% to 0.5% of all lung tumors. Clinical symptoms of lipoma depend on the location of the tumor, the severity of bronchial obstruction, and the functional and anatomical effects on the parenchyma distal to the obstruction. Computed axial tomography usually reveals the adipose composition of the lipomatous tumor. We report the case of an 83-year-old man diagnosed with community-acquired pneumonia that led to complications: pleural empyema caused by <span class="elsevierStyleItalic">Haemophilus influenzae</span> infection and atelectasis of the right middle and lower lobes secondary to a lipomatous endobronchial obstruction. Removal of the bronchial lipoma was performed by laser resection.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Los tumores benignos broncopulmonares representan menos del 4% de las neoplasias de origen pulmonar. El lipoma endobronquial es una neoplasia benigna extremadamente rara, cuya incidencia oscila entre el 0,1 y el 0,5% de todos los tumores del pulmón. Los síntomas clínicos dependen de su localización, del grado de obstrucción bronquial y de las consecuencias morfofuncionantes de dicha obstrucción sobre el parénquima distal. La tomografía axial computarizada suele poner de manifiesto el contenido adiposo del tumor. Presentamos el caso clínico de un varón de 83 años diagnosticado de neumonía adquirida en la comunidad, que se complicó con un empiema pleural por <span class="elsevierStyleItalic">Haemophilus influenzae</span> y atelectasia de lóbulos medio e inferior derecho, secundaria a obstrucción endobronquial por lipoma. Se realizó extirpación del lipoma bronquial mediante fotorresección con láser.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endobronchial lipoma. 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| 2014 February | 64 | 7 | 71 |
| 2014 January | 62 | 8 | 70 |
| 2013 December | 69 | 10 | 79 |
| 2013 November | 65 | 7 | 72 |
| 2013 October | 63 | 11 | 74 |
| 2013 September | 51 | 10 | 61 |
| 2013 August | 51 | 7 | 58 |
| 2013 July | 71 | 11 | 82 |
| 2013 June | 54 | 7 | 61 |
| 2013 May | 35 | 7 | 42 |
| 2013 April | 32 | 6 | 38 |
| 2013 March | 12 | 3 | 15 |
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