Open AccessAn unusual chest wall swelling mimicking tumorous growth
Author(s) -
Manoj Meena,
Ramakant Dixit,
Jai Prakash Kewlani,
Piyush Arora,
Megha Goyal
Publication year - 2016
Publication title -
journal of association of chest physicians
Language(s) - English
Resource type - Journals
eISSN - 2320-9089
pISSN - 2320-8775
DOI - 10.4103/2320-8775.177509
Subject(s) - medicine , swelling , thorax (insect anatomy) , lung , parenchyma , radiology , thoracic wall , etiology , chest tube , anatomy , pathology , pneumothorax
Chest wall swelling with underlying lung involvement is a rare phenomenon and it poses certain diagnostic challenges as well. It has to be differentiated from other swellings with different underlying etiology. We present a case where a 60-year-old man presented with a progressive chest wall swelling over right sterno-clavicular joint abutting the manubrium sterni. The origin of the swelling resulted from a leak of air from a tense tubercular cavity in the lung parenchyma that was diagnosed with the help of a contrast-enhanced computerized tomography thorax. The case was managed conservatively with antitubercular therapy and evacuation of air from the chest wall swelling by a nasogastric tube