A case of emergent operation for a life-threatening infectious mediastinal cyst.
Bronchogenic cyst
Emergent operation
Mediastinal tumor
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2019
2019
Historique:
received:
15
08
2019
revised:
04
10
2019
accepted:
10
10
2019
pubmed:
28
10
2019
medline:
28
10
2019
entrez:
27
10
2019
Statut:
ppublish
Résumé
Congenital mediastinal cysts are an uncommon but important diagnostic group. Most of these cysts are benign and asymptomatic in adults. However, some of them are clinically problematic due to the compression of neighboring organs, infection, or perforation. A 20-year-old man presented with severe dyspnea. Imaging revealed a mediastinal cyst in the subcarinal space compressing his right pulmonary artery and airway, which was later diagnosed as a bronchogenic cyst. Due to quick symptom exacerbation, emergent cyst wall fenestration was performed through video-assisted thoracic surgery with "stand-by" extracorporeal membrane oxygenation. Complete cyst resection was difficult owing to adhesion of the cyst to the surrounding organs. The symptoms immediately resolved after surgery and the postoperative course was uneventful. Mediastinal bronchogenic cysts with life-threatening complications are rarely reported in adults. However, this case was life-threatening due to airway and vascular compression; emergent surgical care should be considered in such cases.
Identifiants
pubmed: 31655286
pii: S2210-2612(19)30568-1
doi: 10.1016/j.ijscr.2019.10.022
pmc: PMC6831818
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
150-153Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
Références
Ann Thorac Surg. 2015 Oct;100(4):e79-80
pubmed: 26434484
J Thorac Cardiovasc Surg. 1995 May;109(5):1003-10
pubmed: 7739231
Chest. 2003 Jul;124(1):125-32
pubmed: 12853514
Thorac Cardiovasc Surg. 2007 Feb;55(1):53-4
pubmed: 17285475
Chest. 1978 Aug;74(2):218-20
pubmed: 679757
Ann Thorac Surg. 1991 Jul;52(1):6-13
pubmed: 2069465
Dig Endosc. 2017 Sep;29(6):727-728
pubmed: 28556943