Lung cyst – A diagnostic dilemma
نویسنده
چکیده
A 22-year-old male patient presented with high grade fever and cough for 2 weeks duration. He had scanty expectoration and mild shortness of breath for the same duration. He was non-diabetic and had no history of chest trauma or contact with any patient of tuberculosis. Sputum for AFB was negative in three consecutive samples. Blood sugar was normal. ELISA for HIV (I and II) was negative. After straight X-ray chest and aspiration of pus, he was misdiagnosed to have pyopneumothorax (Fig. 1). Intercostal tube drainage was given along with broad-spectrum antibiotics. Subsequent chest X-ray showed that the tube occupied a giant cyst in left lung in a rounded manner (Fig. 2). Repeat chest X-ray (Fig. 3) and CT scan of thorax (Fig. 4 and 5) showed a welldefined thin-walled giant solitary cystic space in the lower lobe of the left lung with no evidence of rupture. The case was finally diagnosed as an infected giant congenital lung cyst.
منابع مشابه
Unilateral Obstructive Emphysema in Infancy due to Mediastinal Bronchogenic Cyst-Diagnostic Challenge and Management.
Bronchogenic cysts are the most common cystic mediastinal lesion in children. Bronchogenic cyst causing unilateral obstructive emphysema is a rare presentation. We report the case of a one and half month old infant who presented with respiratory distress which was initially suspected as left pneumothorax on frontal chest radiograph but was later found to be due to hyperinflated left lung and he...
متن کاملAneurysmal Bone Cyst Of The Temporal Bone - A Pathological Diagnostic Dilemma
Aneurysmal bone cyst (ABC) is a benign osteolytic bone neoplasm characterized by blood filled spaces separated by fibrous septa. The tumor can have an occurrence anywhere that there is bone. It occurs mostly in extremity bones, whereas in skull and mandible bones its incidence is about 4%. In this article an unusual case of aneurysmal bone cyst in the right temporal region with histopathologica...
متن کاملExtra Hepatic Biliary Atresia Associated with Choledochal Cyst: A Diagnostic Dilemma in Neonatal Obstructive Jaundice
The presentation of extra hepatic biliary-atresia (EHBA) as well as choledochal cyst (CDC) in the neonate may be similar. Since the surgical management and prognosis are entirely different, it is important to differentiate between the two entities. We present a case with co-existing EHBA and CDC which led to a diagnostic dilemma.
متن کاملA Cervical Thymic Cyst with Persistent Thymopharyngeal Tract: A Case Report
Cervical thymic cyst is a rare entity of either congenital or inflammatory origin described infrequently in literature. The asymptomatic nature of the entity and the rarity of the lesion frequently lead to a diagnostic dilemma many times. We present a case of cervical thymic cyst that presented to us as an asymptomatic neck mass that was managed surgically. Cervical thymic cyst should be kept a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2012