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

PURPOSE: 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. CASE PRESENTATION: A 20-year-old...

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Autores principales: Taniguchi, Daisuke, Tsuchiya, Tomoshi, Matsumoto, Keitaro, Miyazaki, Takuro, Hatachi, Go, Tomoshige, Koichi, Doi, Ryoichiro, Watanabe, Hironosuke, Zaizen, Yoshiaki, Fukuoka, Junya, Nagayasu, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831818/
https://www.ncbi.nlm.nih.gov/pubmed/31655286
http://dx.doi.org/10.1016/j.ijscr.2019.10.022
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author Taniguchi, Daisuke
Tsuchiya, Tomoshi
Matsumoto, Keitaro
Miyazaki, Takuro
Hatachi, Go
Tomoshige, Koichi
Doi, Ryoichiro
Watanabe, Hironosuke
Zaizen, Yoshiaki
Fukuoka, Junya
Nagayasu, Takeshi
author_facet Taniguchi, Daisuke
Tsuchiya, Tomoshi
Matsumoto, Keitaro
Miyazaki, Takuro
Hatachi, Go
Tomoshige, Koichi
Doi, Ryoichiro
Watanabe, Hironosuke
Zaizen, Yoshiaki
Fukuoka, Junya
Nagayasu, Takeshi
author_sort Taniguchi, Daisuke
collection PubMed
description PURPOSE: 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. CASE PRESENTATION: 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. CONCLUSION: 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.
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spelling pubmed-68318182019-11-07 A case of emergent operation for a life-threatening infectious mediastinal cyst Taniguchi, Daisuke Tsuchiya, Tomoshi Matsumoto, Keitaro Miyazaki, Takuro Hatachi, Go Tomoshige, Koichi Doi, Ryoichiro Watanabe, Hironosuke Zaizen, Yoshiaki Fukuoka, Junya Nagayasu, Takeshi Int J Surg Case Rep Article PURPOSE: 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. CASE PRESENTATION: 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. CONCLUSION: 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. Elsevier 2019-10-18 /pmc/articles/PMC6831818/ /pubmed/31655286 http://dx.doi.org/10.1016/j.ijscr.2019.10.022 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Taniguchi, Daisuke
Tsuchiya, Tomoshi
Matsumoto, Keitaro
Miyazaki, Takuro
Hatachi, Go
Tomoshige, Koichi
Doi, Ryoichiro
Watanabe, Hironosuke
Zaizen, Yoshiaki
Fukuoka, Junya
Nagayasu, Takeshi
A case of emergent operation for a life-threatening infectious mediastinal cyst
title A case of emergent operation for a life-threatening infectious mediastinal cyst
title_full A case of emergent operation for a life-threatening infectious mediastinal cyst
title_fullStr A case of emergent operation for a life-threatening infectious mediastinal cyst
title_full_unstemmed A case of emergent operation for a life-threatening infectious mediastinal cyst
title_short A case of emergent operation for a life-threatening infectious mediastinal cyst
title_sort case of emergent operation for a life-threatening infectious mediastinal cyst
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831818/
https://www.ncbi.nlm.nih.gov/pubmed/31655286
http://dx.doi.org/10.1016/j.ijscr.2019.10.022
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