J Korean Soc Radiol.  2016 Jun;74(6):403-406. 10.3348/jksr.2016.74.6.403.

Localized Fibrosing Mediastinitis Causing Pulmonary Infarction: A Case Report

Affiliations
  • 1Department of Radiology, Ajou University School of Medicine, Suwon, Korea. sunnahn@ajou.ac.kr
  • 2Department of Pathology, Ajou University School of Medicine, Suwon, Korea.

Abstract

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.


MeSH Terms

Adult
Biopsy
Emergency Service, Hospital
Female
Fungi
Hemoptysis
Humans
Mediastinitis*
Pulmonary Artery
Pulmonary Infarction*
Smoke
Smoking
Thoracic Wall
Tomography, X-Ray Computed
Tuberculosis
Vasculitis
Smoke
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