Spontaneous Bilateral Pneumothorax and Pneumomediastinum Revealing a Bronchial Carcinoid Tumor

Zaid Ammouri, Najat Idelhaj, Souheil Boubia* and Mohamed Ridai

Department of Thoracic Surgery, CHU Ibn Rochd, Casablanca, Morocco

^*Correspondance to: Souheil Boubia 

 PDF  Full Text DOI: 10.25107/2474-1647.2547

Abstract

Bronchial carcinoid tumors represent 1% to 2% of all pulmonary neoplasias. We report a case where spontaneous bilateral pneumothorax and pneumomediastinum revealed a carcinoid tumor of the right main stem bronchus. KF, 38 years old, exposed to passive smoking for 12 years, was admitted for a spontaneous bilateral pneumothorax and pneumomediastinum. A bronchoscopy has been realized to identify their origin revealing a burgeoning, round, raspberry-tinted and richly vascularized tumor looking like a neuroendocrine tumor at the entry of the right main stem bronchus. That tumor was totally obstructing the bronchus lumen. Bronchial biopsies related an invasive carcinoma few differentiated TTF1. After a negative work-up extension and an operability assessment, a lung-conserving surgery was planned: a resection of the right main stem bronchus and it anastomosis with the upper lobar bronchi and the intermediary trunk with nodes dissection. The surgery was a success permitting to preserve the pulmonary parenchyma. Lung-conserving strategy in carcinoid tumors treatment should be planned as often as possible permitting to avoid unnecessary pulmonary resections.

Keywords

Bronchial carcinoid tumors; Pneumothorax; Pneumomediastinum; Thoracic surgery; Lung conservative surgery

Cite the article

Ammouri Z, Idelhaj N, Boubia S, Ridai M. Spontaneous Bilateral Pneumothorax and Pneumomediastinum Revealing a Bronchial Carcinoid Tumor. Clin Surg. 2019; 4: 2547.