Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion
Mediastinal lymphangiomas are rare benign congenital malformations, but complications can occur, including infection, cystic hemorrhage, superior vena cava syndrome, airway compromise, and chylothorax. Radiologically, lymphangiomas are well-defined masses, with low attenuation ranging from simple to...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2019/1301845 |
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| author | Fateme Salehi Mark Landis Richard Inculet Daniele Wiseman |
| author_facet | Fateme Salehi Mark Landis Richard Inculet Daniele Wiseman |
| author_sort | Fateme Salehi |
| collection | DOAJ |
| description | Mediastinal lymphangiomas are rare benign congenital malformations, but complications can occur, including infection, cystic hemorrhage, superior vena cava syndrome, airway compromise, and chylothorax. Radiologically, lymphangiomas are well-defined masses, with low attenuation ranging from simple to complex fluid and fat. They often encase adjacent mediastinal structures. We present a case of mediastinal lymphangioma in a young female, who presented with recurrent complex pleural effusions, initially thought to represent an empyema and/or necrotic mass. Despite surgical chest tube and interventional radiology drainage, fluid reaccumulated. Upon further review, the interventional and thoracic radiologist concurred that the complex collection was in fact predominantly extra pleural in location. The patient underwent partial resection after it was discovered intraoperatively that the extra pleural cystic mass was contiguous with and extended deeply into the mediastinum. Histopathology confirmed the diagnosis of lymphangioma. |
| format | Article |
| id | doaj-art-7c456dcceeec49de9acb56f7198bf09a |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-7c456dcceeec49de9acb56f7198bf09a2025-02-03T06:00:42ZengWileyCase Reports in Radiology2090-68622090-68702019-01-01201910.1155/2019/13018451301845Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural EffusionFateme Salehi0Mark Landis1Richard Inculet2Daniele Wiseman3Department of Radiology, Victoria Hospital, London Health Science Centre, Western University, London, ON, N6A 5W9, CanadaDepartment of Radiology, Victoria Hospital, London Health Science Centre, Western University, London, ON, N6A 5W9, CanadaDivision of Thoracic Surgery, Victoria Hospital, London Health Science Centre, Western University, London, ON, N6A 5W9, CanadaDepartment of Radiology, Victoria Hospital, London Health Science Centre, Western University, London, ON, N6A 5W9, CanadaMediastinal lymphangiomas are rare benign congenital malformations, but complications can occur, including infection, cystic hemorrhage, superior vena cava syndrome, airway compromise, and chylothorax. Radiologically, lymphangiomas are well-defined masses, with low attenuation ranging from simple to complex fluid and fat. They often encase adjacent mediastinal structures. We present a case of mediastinal lymphangioma in a young female, who presented with recurrent complex pleural effusions, initially thought to represent an empyema and/or necrotic mass. Despite surgical chest tube and interventional radiology drainage, fluid reaccumulated. Upon further review, the interventional and thoracic radiologist concurred that the complex collection was in fact predominantly extra pleural in location. The patient underwent partial resection after it was discovered intraoperatively that the extra pleural cystic mass was contiguous with and extended deeply into the mediastinum. Histopathology confirmed the diagnosis of lymphangioma.http://dx.doi.org/10.1155/2019/1301845 |
| spellingShingle | Fateme Salehi Mark Landis Richard Inculet Daniele Wiseman Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion Case Reports in Radiology |
| title | Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion |
| title_full | Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion |
| title_fullStr | Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion |
| title_full_unstemmed | Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion |
| title_short | Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion |
| title_sort | case report of a rare cystic mediastinal lymphangioma mimicking recurrent pleural effusion |
| url | http://dx.doi.org/10.1155/2019/1301845 |
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