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Scholars Journal of Medical Case Reports | Volume-9 | Issue-08
Pyothorax Revealing an Inflammatory Endobronchial Polyp: A Case Report
M. Ijim, S. Ait Batahar, L. Amro, F. Hazmiri, H. Rais
Published: Aug. 30, 2021 |
160
120
DOI: 10.36347/sjmcr.2021.v09i08.017
Pages: 821-823
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Abstract
An inflammatory polyp of the bronchus is a rare, benign, endobronchial tumor histologically consisting of a fibrovascular stroma covered with normal respiratory epithelium. We report a case of an inflammatory polyp originating from the right intermediate trunk revealed by a right pyothorax. This is the case of a 75-year-old man, an active smoker, who presented a productive cough with greenish sputum, dyspnea associated with lower right chest pain, in a febrile context and deterioration of the general condition, with right hemfield fluid syndrome. The standard chest radiograph showed: a dense homogeneous opacity of the lower right hemithorax presenting a D shaped pleural effusion aspect. The chest CT revealed a tissue lesion localized on the intermediate trunk associated to an aerated atelectasis of the right lower lobe, a large right pleural effusion with signs of infection with pleural thickening. The bronchoscopy showed the presence of a polypoid formation localized in the intermediate trunk whith purulent secretions.