Bronchial Leiomyoma Resected by Electrosurgical Snaring Using a Combination of Rigid Bronchoscopy and Flexible Bronchoscopy

Abstract

Bronchial leiomyoma is a rare benign tumor, often resected endoscopically in recent years. The patient was a 69-year-old woman. Chest X-ray performed during a physical examination showed an abnormality, and chest computed tomography revealed a tumor in the left lower lobe bronchus. Bronchoscopy revealed a mobile tumor obstructing the entrance of the left lower lobe bronchus. The tumor was diagnosed as leiomyoma by bronchoscopic biopsy, after which the patient was referred to our department. The tumor was resected in pieces with high-frequency cauterization using a combination of rigid bronchoscopy and flexible bronchoscopy under general anesthesia. The patient was discharged on the third postoperative day without any postoperative complications. The pathological diagnosis was leiomyoma. This case exemplifies how a leiomyoma obstructing the left lower lobe bronchus can be resected using a combination of rigid and flexible bronchoscopes.