Ohno K, Yamasaki Y, Hatanaka N, Yamamoto S, Kuwata K
Department of Surgery, Osaka Kosei-Nenkin Hospital, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 May;46(5):496-8. doi: 10.1007/BF03217779.
A 38-year-old male was suspected of having an enlarged pretracheal lymph node on chest CT scan. At mediastinoscopy, a cystic lesion was recognized, and showed repeated dilatation and contraction synchronously with the cardiac beat. Pneumopericardium was demonstrated by intraoperative pneumocystography. The cystic lesion was diagnosed as pericardial diverticulum. The diverticular wall was partially resected for drainage of the pericardial fluid. Mediastinoscopy as a less invasive procedure may be useful for the differential diagnosis of adenopathies, and in case of lesion such as a small pericardial diverticulum may allow treatment.
一名38岁男性在胸部CT扫描中被怀疑有气管前淋巴结肿大。在纵隔镜检查时，发现一个囊性病变，该病变显示与心跳同步反复扩张和收缩。术中气囊造影证实有心包积气。该囊性病变被诊断为心包憩室。为引流心包液，对憩室壁进行了部分切除。纵隔镜检查作为一种侵入性较小的手术，可能有助于淋巴结病的鉴别诊断，对于小的心包憩室等病变，纵隔镜检查可用于治疗。
