Suzuki Hidemi, Koh Eitetsu, Hoshino Ikuhisa, Kishi Hirohisa, Saitoh Yukio
Department of Thoracic Surgery, Narita Red-Cross Hospital, 90-1 Iidacho, Narita, Chiba, 286-8523, Japan.
Gen Thorac Cardiovasc Surg. 2010 Feb;58(2):105-8. doi: 10.1007/s11748-009-0487-0. Epub 2010 Feb 13.
We report a case of a mediastinal teratoma associated with acute mediastinitis that required an emergency operation. These tumors cause a variety of complications, but reports of acute mediastinitis are rare. A 24-year-old woman was admitted to our hospital for complaints of chest pain and fever and was subsequently diagnosed as having an anterior mediastinal tumor. Follow-up computed tomography showed rapidly progressing acute mediastinitis, which was diagnosed as a perforation of the teratoma. We performed emergency surgical extirpation of the tumor and mediastinal drainage. The histopathologic diagnosis was a mature teratoma that included pancreatic tissue. Although the apparent site of the rupture was not obvious, there was a wide area of acute inflammation in the mediastinal adipose tissue. The patient did well and was discharged from the hospital without major complications.
我们报告一例纵隔畸胎瘤合并急性纵隔炎的病例，该病例需要进行急诊手术。这些肿瘤会引发多种并发症，但急性纵隔炎的报道较为罕见。一名24岁女性因胸痛和发热入院，随后被诊断为前纵隔肿瘤。后续的计算机断层扫描显示急性纵隔炎迅速进展，诊断为畸胎瘤穿孔。我们对肿瘤进行了急诊手术切除并进行了纵隔引流。组织病理学诊断为成熟畸胎瘤，其中包含胰腺组织。尽管破裂的明显部位并不明确，但纵隔脂肪组织中有广泛的急性炎症区域。患者恢复良好，无重大并发症出院。
