Hanada S, Shirasawa B, Harada M, Ohnishi H, Tomozawa N, Hamano K
Department of Thoracic-Cardiovascular Surgery, Ehime Rosai General Hospital, Niihama, Japan.
Kyobu Geka. 2005 Jun;58(6):487-90.
We report a case with pericardial diverticulum in the mediastinum. A 64-year-old woman visited our hospital because of cough and dyspnea. Chest X-ray showed a smooth-bordered mass in the right superior mediastinum and computed tomography (CT) showed a homogeneous cystic mass in the paratracheal area. During right mini-thoracotomy, a thin-walled cystic lesion was found involving the trachea, the superior vena cava, and the azygos vein. The cyst extended a duct toward the pericardium. We performed total excision and pathological examination confirmed the diagnosis of a pericardial diverticulum. Mini-thoracotomy provides an effective and minimally invasive means of excising the mediastinal mass, relieving symptoms, and allowing pathological examination.
我们报告一例纵隔心包憩室病例。一名64岁女性因咳嗽和呼吸困难前来我院就诊。胸部X线显示右上纵隔有一个边界光滑的肿块，计算机断层扫描（CT）显示气管旁区域有一个均匀的囊性肿块。在右前外侧小切口开胸手术中，发现一个薄壁囊性病变累及气管、上腔静脉和奇静脉。囊肿向心包延伸出一条导管。我们进行了完整切除，病理检查确诊为心包憩室。小切口开胸手术为切除纵隔肿块、缓解症状以及进行病理检查提供了一种有效且微创的方法。
