A Case of Lymphangiomatosis With Infected Lymphangiomas Effectively Treated by Thoracoscopic Debridement and Drainage.

Abstract:

:A 40-year-old woman with lymphangiomatosis also had an intrathoracic lymphangioma infection. Since the age of 8 years, the patient had undergone repeated abdominal and mediastinal cyst surgeries and had received a diagnosis of lymphangiomatosis. At this time, she showed a high fever of 38.5°C. Cultures of both blood and fluid aspirated from the cyst were positive for Staphylococcus aureus. Chest CT imaging revealed an enlarged right-sided mediastinal cystic lymphangioma with new septa in it. A chest tube was inserted into the cyst to remove effusion. The patient was then started with the antibacterial drug cefazolin at 3 g/d. But effective drainage was difficult because of the high viscosity of the effusion and septa working as barriers. We removed these components with endoscopic surgical instruments and via a pulsed-lavage system under general anesthesia. Postoperative CT images showed reexpanded lung structure and reduced cyst size. The patient has taken a favorable course for 2 years.

journal_name

Chest

journal_title

Chest

authors

Minakata T,Suzuki T,Kamio Y,Kadokura M,Himuro N,Takei H

doi

10.1016/j.chest.2020.06.048

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

e221-e224

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(20)31842-0

journal_volume

158

pub_type

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