Lim Jen Yuh, McAnulty Kim A, Chang Catherina L
Department of Respiratory Medicine Waikato Hospital Hamilton New Zealand.
Department of Radiology Waikato Hospital Hamilton New Zealand.
Respirol Case Rep. 2019 Apr 9;7(5):e00421. doi: 10.1002/rcr2.421. eCollection 2019 Jul.
Dyspnoea in obese patients can be multifactorial and complex. Mediastinal and pleural lipomatosis can be associated with obesity and is usually considered asymptomatic and benign. We report an obese 39-year-old man who presented with progressive dyspnoea, where in addition to obstructive sleep apnoea and obesity hypoventilation syndrome, was found to have massive mediastinal and pleural lipomatosis causing restrictive lung disease. Pleural lipomatosis are generally slow growing so conservative management is recommended. However, complications such as haemorrhage and compression of adjoining organs can occur in pleural lipomas, so surgical excision can be considered in some instances.
肥胖患者的呼吸困难可能是多因素且复杂的。纵隔和胸膜脂肪过多症可能与肥胖有关，通常被认为是无症状的良性病症。我们报告了一名39岁的肥胖男性，他出现进行性呼吸困难，除阻塞性睡眠呼吸暂停和肥胖低通气综合征外，还发现有大量纵隔和胸膜脂肪过多症导致限制性肺病。胸膜脂肪过多症一般生长缓慢，因此建议采取保守治疗。然而，胸膜脂肪瘤可能会出现出血和压迫相邻器官等并发症，所以在某些情况下可以考虑手术切除。
