Asakayama General Hospital, Japan.
Osaka City General Hospital, Japan.
Intern Med. 2024 Dec 1;63(23):3217-3220. doi: 10.2169/internalmedicine.3358-23. Epub 2024 Mar 25.
A 72-year-old man was admitted to our hospital with a complaint of breathlessness. Computed tomography revealed a tumor with intense early enhancement and pleural effusion. Although the pleural effusion was not bloody, the tumor showed a hypervascular area on angiography. Left thyrocervical artery embolization was performed to prevent bleeding during the operation. After embolization, chest radiography revealed decreased pleural effusion. The tumor was resected and pathologically diagnosed as a mediastinal cavernous hemangioma. To our knowledge, mediastinal hemangiomas with pleural effusion are extremely rare; thus, this is the first report of reduced pleural effusion in mediastinal hemangiomas after artery embolization.
一位 72 岁男性因呼吸困难到我院就诊。计算机断层扫描显示有一个肿瘤，其早期增强明显，并有胸腔积液。尽管胸腔积液没有血液，但血管造影显示肿瘤有一个富血管区域。为了防止术中出血，进行了左颈总甲状腺动脉栓塞。栓塞后，胸部 X 射线显示胸腔积液减少。切除肿瘤，病理诊断为纵隔海绵状血管瘤。据我们所知，伴有胸腔积液的纵隔血管瘤极为罕见；因此，这是纵隔血管瘤栓塞后胸腔积液减少的首例报告。
