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
Chestjournal_title
Chestauthors
Minakata T,Suzuki T,Kamio Y,Kadokura M,Himuro N,Takei Hdoi
10.1016/j.chest.2020.06.048subject
Has Abstractpub_date
2020-11-01 00:00:00pages
e221-e224issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(20)31842-0journal_volume
158pub_type
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