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Ann Thorac Surg 2005;79:2127-2128
© 2005 The Society of Thoracic Surgeons

Case report

Resection of the Entire Left Mainstem Bronchus for an Inflammatory Pseudotumor

Robert J. Cerfolio, MD, FACS, Thomas C. Matthews, BS*

Department of Cardiothoracic Surgery, University of Alabama School of Medicine, Birmingham, Alabama

Accepted for publication November 25, 2003.

* Address reprint requests to Dr Matthews, University of Alabama School of Medicine, 1900 University Blvd, THT Room 712, Birmingham, AL35294-0016 (E-mail: tcm78{at}uab.edu).

We present the case of a 16-year-old white girl with a history of recurrent postobstructive pneumonia. Chest roentgenogram, chest computed tomography, and bronchoscopy revealed a mass in the left mainstem bronchus with an exophytic component. Multiple bronchoscopic biopsies confirmed the mass to be an inflammatory pseudotumor. After failing months of medical therapy with systemic steroids as well as several laser ablations, the tumor was removed through a left thoracotomy with resection of the entire left mainstem bronchus and reimplantation of the left upper and lower lobe into the trachea without complication or recurrence after 1 year.




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