Localized Fibrosing Mediastinitis Causing Pulmonary Infarction: A Case Report

A 44-year-old female patient visited our emergency room for hemoptysis and refractory chest wall pain of 2 months duration. She had no history of smoking or other medical conditions. Chest CT scan showed homogenously enhancing soft tissue mass without calcification at the left pulmonary hilum. Encas...

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Bibliographic Details
Main Authors: Young Keun Sur, Eun Young Kim, Doo Kyoung Kang, Kyung Joo Park, Young Wha Koh, Joo Sung Sun
Format: Article
Language:English
Published: The Korean Society of Radiology 2016-06-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2016.74.6.403
Description
Summary:A 44-year-old female patient visited our emergency room for hemoptysis and refractory chest wall pain of 2 months duration. She had no history of smoking or other medical conditions. Chest CT scan showed homogenously enhancing soft tissue mass without calcification at the left pulmonary hilum. Encasing and compression of the left lower pulmonary artery by the mass had resulted in pulmonary infarction in the left lower lobe. Laboratory tests for tuberculosis, fungus, and vasculitis were all negative. The patient underwent surgical biopsy and resection of infarcted left lower lobe that was histopathologically confirmed as fibrosing mediastinitis. Herein, we reported a rare case of surgically confirmed and treated localized fibrosing mediastinitis causing pulmonary infarction.
ISSN:1738-2637
2288-2928