Darweesh Mohammad, Kullab Susan, Mansour Mahmoud M, Mahfouz Ratib, Obeidat Adham E
Internal Medicine, East Tennessee State University, Johnson City, USA.
Internal Medicine, University of Missouri School of Medicine, Columbia, USA.
Cureus. 2022 Jul 13;14(7):e26828. doi: 10.7759/cureus.26828. eCollection 2022 Jul.
The discovery of a mediastinal mass presents a wide array of differential diagnoses which largely depends on the boundaries of the mass and its contents. Both computed tomography (CT) and magnetic resonance imaging (MRI) of the chest can determine radiologic compartmentalization to aid in diagnosis. Tissue biopsy for pathology, however, is necessary for final diagnosis. The establishment of a diagnosis should not be delayed, as mediastinal mass may be due to serious causes such as malignancy or infection. Here, we present a rare case of a 72-year-old male with a mediastinal mass that formed as a complication of traumatic esophageal perforation during cardiac arrest. Pathology revealed foreign plant material with granuloma formation secondary to food residue as the etiology of the mass.
纵隔肿物的发现提示了一系列广泛的鉴别诊断，这在很大程度上取决于肿物的边界及其内容物。胸部计算机断层扫描（CT）和磁共振成像（MRI）均可确定放射学分区以辅助诊断。然而，最终诊断需要进行组织活检以获取病理结果。由于纵隔肿物可能由恶性肿瘤或感染等严重病因引起，因此不应延迟诊断的确定。在此，我们报告一例罕见病例，一名72岁男性患有纵隔肿物，该肿物是心脏骤停期间创伤性食管穿孔的并发症。病理显示异物为植物材料，伴有继发于食物残渣的肉芽肿形成，这是肿物的病因。
