Anpalakhan Shaemala, Alluri Ratna, Douglas J Graham, Kurban Lutfi
Respiratory Unit, Aberdeen Royal Infirmary, Aberdeen, UK.
BMJ Case Rep. 2013 Jan 7;2013:bcr2012007978. doi: 10.1136/bcr-2012-007978.
Our case report describes an unusual cause of a mediastinal mass. The patient is a current smoker with a background of neurofibromatosis (NF) type 1 who presented with a right apical mass. Initial investigations suggested a probable malignant cause. The final diagnosis was one of a haematoma from a ruptured thyrocervical aneurysm. The association between neurofibromatosis and vascular aneurysms is an often unrecognised but documented phenomenon. We would like to raise an awareness of this infrequent presentation, as it is associated with a high mortality and may be prevented by early diagnosis.
我们的病例报告描述了一种纵隔肿块的不寻常病因。患者为现吸烟者，有1型神经纤维瘤病（NF）病史，表现为右肺尖肿块。初步检查提示可能为恶性病因。最终诊断为甲状腺颈动脉瘤破裂所致血肿。神经纤维瘤病与血管动脉瘤之间的关联是一种常未被认识但有文献记载的现象。我们希望提高对这种罕见表现的认识，因为它与高死亡率相关，且早期诊断可能预防。
