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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2011  |  Volume : 28  |  Issue : 4  |  Page : 297-299

Herniation of unruptured tuberculous lung abscess into chest wall without pleural or bronchial spillage


1 Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
2 Department of Radiology and Imaging Sciences, Kasturba Medical College, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Rahul Magazine
Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka - 576 104
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.85695

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A 22-year-old unmarried man presented to the chest outpatient department with a history of productive cough of two-month duration. He also complained of pain and swelling on the anterior aspect of right side of chest of one-month duration. Imaging studies of the thorax, including chest roentgenography and computerized tomography, revealed an unruptured lung abscess which had herniated into the chest wall. Culture of pus aspirated from the chest wall swelling grew Mycobacterium tuberculosis. He was diagnosed to have a tuberculous lung abscess which had extended into the chest wall, without spillage into the pleural cavity or the bronchial tree. Antituberculosis drugs were prescribed, and he responded to the treatment with complete resolution of the lesion.


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