Mediastinal Cystic Lymphangioma Complicated with Post Operative Chylothorax: A Case Report

縱膈腔囊狀淋巴管瘤併發術後乳糜胸：一則病例報告

許以霖(I-Lin Hsu) ； 馮瑤(Yaou Fong) ； 蘇正川(Chang-Chuan Su)

《Formosan Journal of Surgery》 37卷1期 (2004/02) Pp. 39-42

https://doi.org/10.29833/FJS.200402.0008

摘要

一位五十六歲的健康女性，因為兩天來胸閣、咳嗽、吞嚥困難而來到急診。胸部 X 光片表現出上縱膈腔變寬，並且電腦斷層掃瞄上可以看到一個囊狀的腫瘤位於上後縱膈腔，食道攝影顯示出食道明顯被壓迫。依據臨床症狀及影像學上發現，診斷為支氣管性或神經消化管性囊腫。後來，她接受左側開胸手術切除腫瘤，術後的病理報告證實為縱膈腔的囊狀淋巴管瘤；很不幸的，術後併發乳糜胸，並以保守治療而康復出院。有關術前鑑別診斷及術中注意事項在此提出討論。

並列摘要

A healthy 56-year-old woman presented to the emergency room with a two-day history of chest tightness, nonproductive cough, and intermittent dysphagia. A widening upper mediastinum was seen on a routine chest roentgenogram and subsequent computed tomography identified a cystic lesion located in the supero-posterior portion of the mediastinum and an esophagogram showed tumor compression on the esophagus. On the basis of a working diagnosis of either a bronchogenic cyst or neuroenteric cyst, a left sided thoracotomy was performed to excise the tumor completely. After surgery, histological examination led to a diagnosis of mediastinal cystic lymphangioma. Unfortunately, a postoperative chylothorax occurred, but resolved with conservative treatment. The case is presented and the literature reviewed.

並列關鍵字

lymphangioma ； chylothorax