A Case of Lymphangiomatosis With Infected Lymphangiomas Effectively Treated by Thoracoscopic Debridement and Drainage
| Autor: | Hidefumi Takei, Takashi Suzuki, Takao Minakata, Mitsutaka Kadokura, Naoya Himuro, Yoshito Kamio |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment Mediastinal Lymphangioma Critical Care and Intensive Care Medicine medicine.disease Surgery Chest tube 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Effusion Lymphangioma medicine Cyst 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Lymphangiomatosis Mediastinal Cyst Mediastinal cystic lymphangioma |
| Zdroj: | Chest. 158:e221-e224 |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2020.06.048 |
| Popis: | A 40-year-old woman with lymphangiomatosis also had an intrathoracic lymphangioma infection. Since the age of 8 years, the patient had undergone repeated abdominal and mediastinal cyst surgeries and had received a diagnosis of lymphangiomatosis. At this time, she showed a high fever of 38.5°C. Cultures of both blood and fluid aspirated from the cyst were positive for Staphylococcus aureus. Chest CT imaging revealed an enlarged right-sided mediastinal cystic lymphangioma with new septa in it. A chest tube was inserted into the cyst to remove effusion. The patient was then started with the antibacterial drug cefazolin at 3 g/d. But effective drainage was difficult because of the high viscosity of the effusion and septa working as barriers. We removed these components with endoscopic surgical instruments and via a pulsed-lavage system under general anesthesia. Postoperative CT images showed reexpanded lung structure and reduced cyst size. The patient has taken a favorable course for 2 years. |
| Databáze: | OpenAIRE |
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