SMF Schweizerisches Medizin-Forum 1424-4020 1424-3784 EMH Schweizerischer Ärzteverlag AG Farnsburgerstrasse 8 CH-4132 Muttenz 08272 10.4414/smf.2019.08272 Der besondere Fall Chirurgie und Kinderchirurgie Kinder- und Jugendmedizin Pneumologie Ungewöhnliche Präsentation eines Lipoms im Kindesalter Bildstein Tania tania.bildstein@kispisg.ch Pädiatrie | Ostschweizer Kinderspital, St. Gallen | Claudiusstrasse 6 | St. Gallen | 9006 | SWITZERLAND Maschler Isabella Pneumologie/Allergologie Ostschweizer Kinderspital, St. Gallen Baumgartner Guido Leitender Arzt Kinderchirurgie Kantonsspital Graubünden, Chur Rauch Sarah Pathologie Kantonsspital Graubünden, Chur Waibel Peter Leitender Arzt Radiologie Ostschweizer Kinderspital, St. Gallen Barben Jürg juerg.barben@kispisg.ch 11 09 2019 19 3738 624 626 Copyright: EMH Schweizerischer Ärzteverlag AG 2019 EMH Schweizerischer Ärzteverlag AG "Swiss Medical Forum" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. NonCommercial — You may not use the material for commercial purposes. NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material. "Non-commercial" means not primarily intended for or directed towards commercial advantage or monetary compensation. The incorporation of publications in commercial products, the use of publications to advertise for commercial products or services and any other usage that directly or indirectly pursues commercial interests is subject to the express previous consent of the publishing house as part of a written agreement. Please send us your request in writing. Exact indication of the publication from which you would like to reproduce material and detailed information about its intended use help to facilitate and expedite request processing. <p>Lipomas are common diseases of the skin, however, they can solely present in the chest. Intrathoracic lipoma is very rare in children, and most are asymptomatic for a long time. We present a previous healthy 5-year old child, who was presented in our emergency room due to a history of productive cough, rhinitis and daily high fever for a few days. The chest X-ray was misinterpreted as pneumonia with pleural effusion, and the child was treated with antibiotics. Due to persistent attenuated breath sounds and infiltration on the chest X-ray, a CT scan was performed, which revealed a large intrathoracic lipoma. The benigne tumor could easily been removed by the thoracic surgeon, and clinical and radiological follow up were uneventful.</p>