Tesloianu Dan-Nicolae, Chioarta Mihaela, Corduneanu Dana, Ignat Andreea-Mihaela, Petris Antoniu Octavian, Tesloianu Anda
Department of Cardiology, "St. Spiridon" Clinical Emergency Hospital, Iasi, Romania.
Department of Internal Medicine, "St. Spiridon" Clinical Emergency Hospital, Iasi, Romania.
Maedica (Bucur). 2017 Dec;12(4):281-285.
Localized interlobar effusion in congestive heart failure (known as phantom tumor or vanishing tumor of the lung) is an uncommon entity. We report a case of a 61-year-old man who presented to the Emergency Departament with a two week history of dyspnoea, palpitations, dry cough and intermitent anterior chest pain. A posteroanterior chest radiography showed a nodular mass in the medium third of the right hemithorax suggestive of a pulmonary tumor. With this supposition of diagnosis, the patient was admitted to the Pneumology Departament for further investigations. Left ventricular systolic dysfunction was identified on the echocardiographic examination, in the presence of atrial flutter with 2 to 1 block. Lateral chest X-ray confirmed the presence of a pleural effusion with complete regression of "the lung tumor" after ten days of congestive heart failure treatment, avoiding other expensive and unnecessary investigations.
充血性心力衰竭中的局限性叶间积液（称为肺部假瘤或消散性肿瘤）是一种罕见的病症。我们报告一例61岁男性病例，该患者因呼吸困难、心悸、干咳和间歇性前胸疼痛两周就诊于急诊科。后前位胸部X线片显示右半胸中部三分之一处有一个结节状肿块，提示肺部肿瘤。基于此诊断推测，患者被收入呼吸科作进一步检查。超声心动图检查发现左心室收缩功能障碍，同时存在2:1阻滞的心房扑动。侧位胸部X线片证实存在胸腔积液，在充血性心力衰竭治疗十天后“肺部肿瘤”完全消退，避免了其他昂贵且不必要的检查。
