[Ruptured thymic cysts with mediastinal hemorrhage and hemothorax--a case report and reviews of the literature].

K Tsuda, I Yoshida, K Ohshima, Y Morishita
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Abstract

We report a rare case with rupture of thymic cyst including mediastinal hemorrhage and hemothorax. A 68-year-old man was referred to our hospital for the treatment of right hemothorax. A chest roentgenogram following thoracentesis demonstrated a widened mediastinum. Chest computed tomograms revealed a large anterior mediastinal mass extending to the right pleural cavity and bilateral pleural effusion. Digital subtraction angiography showed a normal aorta and great vessels. A median stenotomy revealed a large encysted hematoma along the thymic cyst extending from the right anterior mediastinum into the right pleural cavity and ending with rupture. Pathological examination demonstrated that the largest thymic cyst was continued to the hematoma resulting from partial destruction of its epithelial lining. To our knowledge, only five cases including our's with ruptured thymic tumors were reported, and this is the first report of ruptured thymic cyst resulting in mediastinal hemorrhage and hemothorax.

【胸腺囊肿破裂合并纵隔出血和血胸——1例报告及文献复习】。
我们报告一例罕见的胸腺囊肿破裂,包括纵隔出血和血胸。一名68岁男子因右胸血而转诊至我院。胸腔穿刺后的胸片显示纵隔增宽。胸部电脑断层显示一个大的前纵隔肿块延伸到右胸膜腔和双侧胸膜积液。数字减影血管造影显示主动脉和大血管正常。胸腺囊肿沿胸腺囊肿呈大囊状血肿,从右侧前纵隔延伸至右侧胸膜腔,最终破裂。病理检查显示,最大的胸腺囊肿持续到血肿,造成部分上皮破坏。据我们所知,包括我们在内仅有5例胸腺肿瘤破裂的报道,这是第一例胸腺囊肿破裂导致纵隔出血和血胸的报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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