Complex Mediastinal Tumour In Pregnancy: Case Report.

Cristina Rodrigues, Daniel Cabral, Isabel Correia, Luísa Pinto, Mónica Centeno, Francisco Félix
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Abstract

A 19 years-old woman, on her 17th week of pregnancy presented to the emergency department with thoracic pain and vomiting. An empyema was diagnosed and she was transferred to a tertiary hospital for treatment. After drainage of the empyema a mediastinal mass was detected and a thoracic MRI revealed a multicystic lesion of the anterior mediastinum, causing cardiac and left lung compression, suggestive of a complicated teratoma. After a multidisciplinary discussion involving pulmonology, radiology, obstetrics and thoracic surgery, she was operated successfully by clamshell incision. A mature complicated teratoma was resected and a left pleurectomy/decortication performed. She was discharged on day 17 with no obstetrical or respiratory symptoms..

妊娠期复杂纵隔肿瘤1例。
一名19岁女性,怀孕17周时因胸痛和呕吐就诊于急诊科。经诊断为脓胸,她被转到三级医院治疗。肺气肿引流后,发现纵隔肿块,胸部MRI显示前纵隔多囊病变,引起心脏和左肺压迫,提示合并畸胎瘤。经肺科、放射科、产科、胸外科等多学科联合讨论,采用翻盖式切口手术成功。我们切除了一个成熟的复杂畸胎瘤,并进行了左胸膜切除术/去皮术。她于第17天出院,无产科或呼吸道症状。
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