{
  "abstract": "Endobronchial lipomas are rare benign tumours that can cause airway obstruction and recurrent infection. A 70-year-old smoker with combined pulmonary fibrosis and emphysema presented with recurrent right middle lobe infections and declining pulmonary function. Computed tomography revealed a fat-density lesion obstructing the middle lobe bronchus, with atelectasis and consolidation. Bronchoscopy and histology confirmed lipoma. Given limited respiratory reserve, lung-sparing flexible bronchoscopy with snare electrocautery and argon plasma coagulation restored airway patency; retained purulent secretions were drained and infection treated. At 2 months, the patient was asymptomatic with radiological resolution; FVC improved from 75% to 83% predicted and DLCO from 35% to 50% predicted. Recovery followed concurrent recanalization, drainage and antimicrobial treatment, whose individual contributions cannot be separated. This case highlights bronchoscopic diagnosis and treatment of benign obstruction in persistent middle lobe disease. Longer surveillance is needed to assess durability.",
  "abstract_shown": true,
  "affiliations": [
    "Pneumonology Department Athens Medical Center Athens Greece.",
    "5th Pneumonology Department Sotiria Chest Diseases Hospital Athens Greece.",
    "Pathology Department Athens Medical Center Athens Greece."
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Anastasios Palamidas",
      "orcid": "0000-0001-9289-3368"
    },
    {
      "affs": [
        1
      ],
      "name": "Kostandinos Papatheodosiou",
      "orcid": "0009-0005-2405-6572"
    },
    {
      "affs": [
        2
      ],
      "name": "Evagelia Karagianni"
    },
    {
      "affs": [
        2
      ],
      "name": "Fotios Daglis"
    },
    {
      "affs": [
        0
      ],
      "name": "Demosthenes Bouros",
      "orcid": "0000-0002-0685-0765"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6cf84jtcnn9rp.bib",
  "cited_by": 0,
  "doi": "10.1002/rcr2.70800",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727364/?tool=EBI",
  "id": "6cf84jtcnn9rp",
  "issns": [
    "2051-3380"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13727364",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2740|Medical Imaging and Pathology Studies"
    ]
  ],
  "openalex": "W7225117314",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727364/pdf/?tool=EBI",
  "pmcid": "PMC13727364",
  "pmid": "42974395",
  "published": "2026-11-01",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/6cf84jtcnn9rp.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13727364",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13727364"
    },
    {
      "first_seen": "2026-11-04T15:20:47Z",
      "native_id": "MED:42974395",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42974395"
    },
    {
      "first_seen": "2026-11-05T12:23:27Z",
      "native_id": "PMC13727364",
      "source": "pmc",
      "url": "https://doi.org/10.1002/rcr2.70800"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Medical Imaging and Pathology Studies",
      "subfield": "general"
    }
  ],
  "title": "A Rare Endobronchial Lipoma of the Right Middle Lobe Causing Middle Lobe Syndrome and Recurrent Post‐Obstructive Infection in a Patient With Interstitial Lung Disease, Managed by Lung‐Sparing Bronchoscopy",
  "title_text": "A Rare Endobronchial Lipoma of the Right Middle Lobe Causing Middle Lobe Syndrome and Recurrent Post‐Obstructive Infection in a Patient With Interstitial Lung Disease, Managed by Lung‐Sparing Bronchoscopy",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:23:03Z",
  "url": "https://research.draconitic.com/paper/6cf84jtcnn9rp",
  "venue": "Respirology case reports",
  "versions": []
}