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We report the case of an afebrile 85-year-old patient with progressive swelling of the right hemithorax (figure 1A). The patient was previously treated in the early 1950s for pulmonary tuberculosis with plombage therapy using extrapleural injection of paraffin oil. A CT revealed an extrathoracic leak of oleothorax (figure 1B). Intraoperative findings showed a calcified chest cavity with extrathoracic expansion of yellow oily fluid (figure 2A–C). Following exclusion of infection, treatment consisted of the temporary application of negative intrapleural pressure with subsequent intrathoracic transposition of the latissimus dorsi muscle.
Contributors TP wrote the MS. CA supervised the work.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.