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Vol. 41. Issue 3.
Pages 172-174 (March 2005)
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Vol. 41. Issue 3.
Pages 172-174 (March 2005)
Case Report
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Pleural Empyema Associated With Endobronchial Lipoma
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A. Casanova Espinosaa, C. Cisneros Serranoa, R.M. Girón Morenoa,
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
, M.J. Oliverab, R. Moreno Balsalobrec, E. Zamora Garcíaa
a Servicio de Neumología, Hospital Universitario de la Princesa, Madrid, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario de la Princesa, Madrid, Spain
c Servicio de Cirugía Torácica, Hospital Universitario de la Princesa, Madrid, Spain
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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 Haemophilus influenzae 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.

Key Words:
Endobronchial lipoma
Empyema
Laser therapy

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 Haemophilus influenzae y atelectasia de lóbulos medio e inferior derecho, secundaria a obstrucción endobronquial por lipoma. Se realizó extirpación del lipoma bronquial mediante fotorresección con láser.

Palabras clave:
Lipoma endobronquial
Empiema
Laserterapia
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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