A 45-Year-Old Man With a Lung Mass and History of Charcoal Aspiration

Authors: Seder, David B1; Christman, Robert A2; Quinn, Michael O2; Knauft, M Elizabeth2

Source: Respiratory Care, Volume 51, Number 11, November 2006 , pp. 1251-1254(4)

Publisher: The Journal Respiratory Care Company

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A 45-year-old man was seen in consultation for evaluation of a spiculated right-lower-lobe mass that enlarged over 1 year. The patient had suffered accidental instillation of activated charcoal into the right lung via nasogastric tube 2 years prior to this consultation, with resultant respiratory failure, pneumonia, and pneumothorax. Biopsy of the mass showed anthracosis and granulomatous inflammation. A positron emission tomogram was strongly positive at the lesion, and right-lower-lobectomy with partial diaphragmatic resection was performed. On gross examination of the mass, a charcoal concretion was evident. Histologic examination showed intrinsic and surrounding granulomatous inflammation, but without tumor. The patient recovered uneventfully, and after 1 year had not experienced further complications.


Document Type: Case Report

Affiliations: 1: Department of Pulmonary and Critical Care Medicine, Maine Medical Center, 22 Bramhall Street, Portland ME 04102;, Email: sederd@mmc.org 2: Department of Pulmonary and Critical Care Medicine, Maine Medical Center, Portland, Maine

Publication date: November 1, 2006

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