A 36-year-old young woman with a medical history of recurrent pulmonary embolism and chronic pelvic pain was admitted to our hospital. Contrast-enhanced imaging techniques revealed a large left renal vein aneurysm with a coexisting vascular mass. The patient was operated on electively, and the left kidney was autotransplanted to the right ileac fossa following the ex vivo resection of the vascular mass and the left renal vein aneurysm. Herein, we report an unusual coexistence of a vascular mass and recurrent pulmonary embolism treated successfully with our surgical treatment strategy.
enign lung tumors are rare tumors; consist of less than 1% of body tumors. Among these, hamartomas are the most common and found in the range of 0.02% to 0.3% incidence. 1 Hamartoma may locate into pulmonary parenchyma; these hamartomas are generally asymptomatic. Some hamartomas may be located in the trachea or bronchi, and present with result of tracheal or bronchial obstruction as cough, expectoration, and dyspnea. 2 Endobronchial hamartomas (EH) often grow and obstruct the bronchial lumen substantially without symptoms such as dyspnea, and wheezing. Without an apparent radiologic sign, the symptoms secondary to bronchial obstruction may lead to misdiagnosis of asthma. 1 Because of the benign nature of these tumors, bronchoscopic removal is generally recommended, but in patients with irreversible lung destruction surgical treatment should be performed. 3 We herein report a case of a bulky EH placed in the left main bronchus, diagnosed by bronchoscopy and extracted by endobronchial treatment via rigid bronchoscope.
CASE REPORTA 52-year-old female patient with a 5-year history of asthma was admitted to the hospital complaining of chest pain and progressive shortness of breath. The patient was a nonsmoker and had no other significant medical his-Turkiye Klinikleri J Case
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