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A case of emergent operation for a life-threatening infectious mediastinal cyst

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Title: A case of emergent operation for a life-threatening infectious mediastinal cyst
Authors: Taniguchi, Daisuke / Tsuchiya, Tomoshi / Matsumoto, Keitaro / Miyazaki, Takuro / Hatachi, Go / Tomoshige, Koichi / Doi, Ryoichiro / Watanabe, Hironosuke / Zaizen, Yoshiaki / Fukuoka, Junya / Nagayasu, Takeshi
Issue Date: 18-Oct-2019
Publisher: Elsevier Ltd
Citation: International Journal of Surgery Case Reports, 64, pp.150-153; 2019
Abstract: PURPOSE: Congenital mediastinal cysts are an uncommon but important diagnostic group. Most of thesecysts are benign and asymptomatic in adults. However, some of them are clinically problematic due tothe compression of neighboring organs, infection, or perforation.CASE PRESENTATION: A 20-year-old man presented with severe dyspnea. Imaging revealed a mediastinalcyst in the subcarinal space compressing his right pulmonary artery and airway, which was later diag-nosed as a bronchogenic cyst. Due to quick symptom exacerbation, emergent cyst wall fenestration wasperformed through video-assisted thoracic surgery with “stand-by” extracorporeal membrane oxygena-tion. Complete cyst resection was difficult owing to adhesion of the cyst to the surrounding organs. Thesymptoms immediately resolved after surgery and the postoperative course was uneventful.CONCLUSION: Mediastinal bronchogenic cysts with life-threatening complications are rarely reportedin adults. However, this case was life-threatening due to airway and vascular compression; emergentsurgical care should be considered in such cases.
Keywords: Mediastinal tumor / Emergent operation / Bronchogenic cyst
URI: http://hdl.handle.net/10069/39512
ISSN: 22102612
DOI: 10.1016/j.ijscr.2019.10.022
Rights: © 2019 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an openaccess article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/39512

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