A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature

Mediastinal lymphangioma is primarily a benign lesion and the majority of the cases are found incidentally. These lesions account for approximately 1% of all mediastinal tumors. Here we present a giant mediastinal cystic mass in a 35-year-old female who was presented with severe respiratory distress...

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Main Authors: Mohsen Sokouti, Nassir Rostambeigi, Monireh Halimi, Seyed Ziaeddin Rasihashemi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2015-03-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/1478
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author Mohsen Sokouti
Nassir Rostambeigi
Monireh Halimi
Seyed Ziaeddin Rasihashemi
author_facet Mohsen Sokouti
Nassir Rostambeigi
Monireh Halimi
Seyed Ziaeddin Rasihashemi
author_sort Mohsen Sokouti
collection DOAJ
description Mediastinal lymphangioma is primarily a benign lesion and the majority of the cases are found incidentally. These lesions account for approximately 1% of all mediastinal tumors. Here we present a giant mediastinal cystic mass in a 35-year-old female who was presented with severe respiratory distress. On the plain chest radiography and CT scan, a massive left pleural effusion with large parasternal and mediastinal lymphadenopathy was seen. Thoracentesis was performed and 400 cm³ of clear fluid was drained from the left hemithorax. However, a subsequent CT scan with contrast and the same technique 40 days later showed a large cystic mass in the mediastinum protruding to the right and left hemi thoraces. The giant cystic mass was resected via right and left anterior thoracotomies. Histopathological examination revealed a diagnosis of lymphangioma. The patient has been alive and without tumor recurrence and has been followed for 2 years.
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spelling doaj.art-51b30836a770461bb60befbe95a970332022-12-22T00:27:13ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882015-03-01402181184A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of LiteratureMohsen Sokouti0Nassir Rostambeigi1Monireh Halimi2Seyed Ziaeddin Rasihashemi3Department of Cardiothoracic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran;Department of Radiology, University of Minnesota, USA;Department of Pathology, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Cardiothoracic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran;Mediastinal lymphangioma is primarily a benign lesion and the majority of the cases are found incidentally. These lesions account for approximately 1% of all mediastinal tumors. Here we present a giant mediastinal cystic mass in a 35-year-old female who was presented with severe respiratory distress. On the plain chest radiography and CT scan, a massive left pleural effusion with large parasternal and mediastinal lymphadenopathy was seen. Thoracentesis was performed and 400 cm³ of clear fluid was drained from the left hemithorax. However, a subsequent CT scan with contrast and the same technique 40 days later showed a large cystic mass in the mediastinum protruding to the right and left hemi thoraces. The giant cystic mass was resected via right and left anterior thoracotomies. Histopathological examination revealed a diagnosis of lymphangioma. The patient has been alive and without tumor recurrence and has been followed for 2 years.http://ijms.sums.ac.ir/index.php/IJMS/article/view/1478LymphangiomaMediastinumSurgeryPleural effusion
spellingShingle Mohsen Sokouti
Nassir Rostambeigi
Monireh Halimi
Seyed Ziaeddin Rasihashemi
A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
Iranian Journal of Medical Sciences
Lymphangioma
Mediastinum
Surgery
Pleural effusion
title A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
title_full A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
title_fullStr A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
title_full_unstemmed A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
title_short A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature
title_sort huge lymphangioma mimicking pleural effusion with extension to both chest cavities a case report and review of literature
topic Lymphangioma
Mediastinum
Surgery
Pleural effusion
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/1478
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