scholarly journals The Endobronchial Inflammatory Myofibroblastic Tumor

2021 ◽  
Vol 2021 ◽  
Author(s):  
Imane LEFQIH ◽  
Labiba SBIKI ◽  
Hachem TALEB ELMINE ◽  
Safa SABUR ◽  
Rachid TAOUFIQ ◽  
...  
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Benign Tumor ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
Lobe Bronchus ◽  
Complete Excision ◽  
Operative Specimen ◽  
Fast Evolution

The inflammatory myofibroblastic tumor is a rare tumor described in the literature as a type of inflammatory pseudotumor. It mainly has a pulmonary location but can appear at endobronchial or mediastinal sites on rarely. While it is a benign tumor, it can sometimes be unpredictable due to its invasive characteristic as well as its resurgence after complete excision. We report the case of a patient presenting hemoptysis. The bronchoscopy revealed a bud in the left upper lobe bronchus, and the biopsy pointed to a myofibroblastic tumor. In one month, interval, the bud extended to the left main bronchus, hence the indication of a left pneumonectomy, performed by posterolateral thoracotomy. The study of the operative specimen confirmed the biopsy diagnosis. The particularity of our case is the endobronchial presentation and the fast evolution of this inflammatory myofibroblastic tumor, which requires a pneumonectomy.

scholarly journals The left main bronchus transected incorrectly during video-assisted thoracoscopic lobectomy: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yuma Shindo ◽  
Masahiro Miyajima ◽  
Yasuyuki Nakamura ◽  
Wataru Arai ◽  
Ryunosuke Maki ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Main Bronchus ◽  
Lower Lobe ◽  
Left Main Bronchus ◽  
Left Lower Lobe ◽  
Left Main ◽  
Lobe Bronchus ◽  
Intraoperative Complication ◽  
Pleural Adhesion ◽  
Lower Lobectomy

Abstract Background Several severe intraoperative complications of lung cancer surgery have been reported, but the incorrect transection of the main bronchus is a very rare and serious complication. We report a surgical case of a patient with left lower lobe lung cancer invading the inferior segment of the lingula, with fused interlobar fissure and dense pleural adhesion, in which the left main bronchus was mistaken for the left lower lobe bronchus and was transected. Case presentation A 64-year-old woman with lung adenocarcinoma was referred to our hospital for surgical treatment. Chest computed tomography (CT) scan showed a 30-mm nodule with a clear border and irregular margins in the center of the anterior (S8) segment of the lower lobe of the left lung and another similar 30-mm nodule in the lateral (S9) segment of the same lobe. Metastasis within the same lobe was suspected. A thoracoscopic left lower lobectomy was scheduled for the patient. As the patient had a moderately, fused fissure, dense pleural adhesion, and suspicious tumor invasion from the left S8 segment to the left S5 segment, and the interlobar node tightly adhered to the main PA at the site of basilar artery origin of the LLL, we performed left lower lobectomy and a left S5 segmentectomy using the fissureless fissure-last technique. During surgery, the left main bronchus was mistaken for the left lower lobe bronchus and was transected. After transecting the left main bronchus, we performed a sleeve bronchoplasty to prevent pneumonectomy. Conclusions We experienced the rare and serious intraoperative complication of the incorrect transection of the main bronchus. There are few reports of this intraoperative complication, and it should not be overlooked by surgeons.

scholarly journals Surgical Treatment of a Neuromucoepidermoid Carcinoma of the Left Main Bronchus via Posterolateral Thoracotomy in a 4-Year-Old Boy

2020 ◽  
Vol 09 (01) ◽  
pp. e1-e3
Author(s):  
Markus Liebrich ◽  
Godehard Friedel ◽  
Peter Amrhein ◽  
Ioannis Tzanavaros
Keyword(s):  
Surgical Treatment ◽  
Main Bronchus ◽  
Complete Resection ◽  
Left Main Bronchus ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
End To End

AbstractWe report the case of a 4-year-old boy with a neuromucoepidermoid carcinoma of the left main bronchus. Complete resection of the carcinoma and reconstruction of the carina between lower and upper lobe by means of an end-to-end anastomosis was performed via a left-sided thoracotomy.

scholarly journals Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach

2019 ◽  
Author(s):  
Sara Mantovani ◽  
Lucile Gust ◽  
Xavier Benoit D’Journo ◽  
Pascal Alexandre Thomas
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Main Bronchus ◽  
Lung Parenchyma ◽  
Left Main Bronchus ◽  
Sleeve Resection ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
Bronchial Anastomosis ◽  
Clamshell Incision

Abstract Bronchial sleeve resection is an uncommon thoracic surgical procedure. Under specific conditions, patients can be selected to undergo a sleeve resection of the main bronchus with complete parenchymal preservation. The left main bronchus is longer than the contralateral bronchus, therefore left endobronchial tumours can be localized at the proximal end of the bronchus or distally, near the secondary carina. Bronchial anastomosis in these 2 situations requires different approaches. We present the surgical technique of left main bronchus resection with complete preservation of lung parenchyma through a hemi-clamshell incision (proximal tumour) or posterolateral thoracotomy (distal tumour).

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main

scholarly journals METALLIC FOREIGN BODY IN LEFT MAIN BRONCHUS (A Case Report)

1994 ◽  
Vol 50 (2) ◽  
pp. 147-148
Author(s):  
KV SURYANARAYANA ◽  
PC CHAMYAL ◽  
MR WAGHRAY
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Metallic Foreign Body ◽  
Left Main

scholarly journals Bronchial glomus tumor mimicking a COPD exacerbation

2015 ◽  
Vol 75 (3) ◽  
Author(s):  
F. Ravenna ◽  
S. Saturni ◽  
A. Casalini ◽  
F.P. Pilato ◽  
C. Pasquini ◽  
...  
Keyword(s):  
Clinical Features ◽  
Glomus Tumor ◽  
Histopathological Examination ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Copd Exacerbation ◽  
Left Main ◽  
Tumor Excision ◽  
Rare Neoplasm

We report the case of a glomus tumor originating in the left main bronchus diagnosed in a 79 year old Caucasian man. A glomus tumor is an extremely rare neoplasm in the bronchi with nonspecific clinical features. Bronchoscopy allows the diagnosis through biopsy and subsequent histopathological examination of the tissue and in selected cases may represent a valid alternative to surgery permitting a radical tumor excision.

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