Bae Chi Hoon, Jung Kyung Jae
Department of Thoracic and Cardiovascular Surgery, Daegu Catholic University Medical Center, Catholic University of Daegu, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Oct;44(5):373-6. doi: 10.5090/kjtcs.2011.44.5.373. Epub 2011 Oct 6.
Lymphangiohemangiomas of the mediastinum are exceedingly rare and few cases have been published in the English literature. This report may be the only reported case in which lymphangiohemangiomas were found bilaterally. We report a case of a 7-year-old boy with an incidental finding of an abnormal mediastinal shadow on a chest X-ray. The chest CT showed a large mass in the left superior mediastinum and another in the right posterior mediastinum. The left mass had anomalous venous channels connected to the left innominate vein, and the right mass to the left atrium. We performed an excision of the mass in the left side first and then the right side one month later. Anomalous venous channels were dissected carefully and ligated. There were no complications and no signs of recurrence 30 months after the operation.
纵隔淋巴管血管瘤极为罕见，英文文献中报道的病例很少。本报告可能是唯一一例双侧发现淋巴管血管瘤的报道。我们报告一例7岁男孩，胸部X线检查偶然发现纵隔阴影异常。胸部CT显示左上纵隔有一个大肿块，右后纵隔有另一个肿块。左侧肿块有异常静脉通道与左无名静脉相连，右侧肿块与左心房相连。我们先切除了左侧的肿块，一个月后切除了右侧的肿块。仔细解剖并结扎了异常静脉通道。术后30个月无并发症，无复发迹象。
