| 摘要 |
A healthy 56-year-old woman presented to the emergency room with a two-day history of chest tightness, nonproductive cough, and intermittent dysphagia. A widening upper mediastinum was seen on a routine chest roentgenogram and subsequent computed tomography identified a cystic lesion located in the supero-posterior portion of the mediastinum and an esophagogram showed tumor compression on the esophagus. On the basis of a working diagnosis of either a bronchogenic cyst or neuroenteric cyst, a left sided thoracotomy was performed to excise the tumor completely.
After surgery, histological examination led to a diagnosis of mediastinal
cystic lymphangioma. Unfortunately, a postoperative chylothorax occurred, but resolved with conservative treatment. The case is presented and the literature reviewed. |
