Menth M, Balmer M C, Ris H B
Abteilung für Thoraxchirurgie, Klinik für Thorax-, Herz- und Gefässchirurgie, Bern.
Swiss Surg. 1998;4(2):58-60.
We describe a young snowboarder suffering from dyspnea, chest pain and dysphagia following a blunt chest injury. These symptoms were caused by an accident-related hemorrhage within a preexisting lymphangioma of the right posterior mediastinum. At the same time a lymphangioma of the left anterior mediastinum was found. The lymphangioma of the posterior mediastinum was resected through a right posterolateral thoracotomy after thoracoscopy had demonstrated that a complete resection could not be performed on this way. The lymphangioma of the left side was resected 4 month later by a left-sided hemiclamshell approach due to its size and localisation. Complications arising from mediastinal lymphangioma are described as compression, infection, spontaneous bleeding, rupture and chylothorax. This is the first description of a posttraumatic, symptomatic hemorrhage within a mediastinal lymphangioma.
我们描述了一名年轻的滑雪板运动员，在胸部钝性损伤后出现呼吸困难、胸痛和吞咽困难。这些症状是由右后纵隔先前存在的淋巴管瘤内与事故相关的出血引起的。同时发现左前纵隔有一个淋巴管瘤。胸腔镜检查显示无法通过这种方式进行完全切除后，经右后外侧开胸手术切除了后纵隔的淋巴管瘤。由于左侧淋巴管瘤的大小和位置，4个月后通过左侧半蛤壳式入路将其切除。纵隔淋巴管瘤引起的并发症包括压迫、感染、自发性出血、破裂和乳糜胸。这是纵隔淋巴管瘤创伤后有症状出血的首次描述。
