Pulmonary Resection For Bronchial Polyp After Lung Transplant in a Cystic Fibrosis Patient

Abstract

Many clinical conditions should be considered in the differential diagnosis of life-threatening events in cystic fibrosis patients after a lung graft transplant. We report on a 17-year-old boy who underwent a lobectomy owing to an inflammatory endobronchial polyp complicated by massive airways bleeding 12 months after having had a bilateral sequential lung graft for cystic fibrosis. This unusual complication underscores the requirement for flexible bronchoscopy in patients with recurrent infection at any stage after transplant. Early diagnosis may prevent life-threatening complications.

Therapeutic endobronchial resection of a benign tumor in a patient with cystic fibrosis

“…Inflammatory endobronchial polyps account for 4%‐19% of benign trachea‐bronchial tumors . In cystic fibrosis, polyps have so far only been described after lung transplant or following bilobectomy for recurrent chest infections (multiple small lesions that were not identified on preoperative chest CT) . The diagnosis is often challenging .…”

“…1,2 In cystic fibrosis, polyps have so far only been described after lung transplant or following bilobectomy for recurrent chest infections (multiple small lesions that were not identified on preoperative chest CT). 3,4 The diagnosis is often challenging. 5 Inflammatory polyps may regress spontaneously but are classically resected to confirm the benign condition and/or to treat symptomatic patients that experience relapsing respiratory infections, haemoptysis, and atelectasis.…”