Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Stumpfes Thoraxtrauma mit Einblutung in ein mediastinales Lymphangiom--Fallbeschreibung [Blunt thoracic trauma with hemorrhage into a mediastinal lymphangioma--case report]
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
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.
Adolescent, Athletic Injuries/pathology, Athletic Injuries/surgery, Diagnosis, Differential, Hemothorax/pathology, Hemothorax/surgery, Humans, Lymphangioma/pathology, Lymphangioma/surgery, Male, Mediastinal Neoplasms/pathology, Mediastinal Neoplasms/surgery, Mediastinum/pathology, Mediastinum/surgery, Neoplasms, Multiple Primary/pathology, Neoplasms, Multiple Primary/surgery, Reoperation, Thoracic Injuries/pathology, Thoracic Injuries/surgery, Thoracoscopy, Thoracotomy, Wounds, Nonpenetrating/pathology, Wounds, Nonpenetrating/surgery
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