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A symptomatic anterior mediastinal mass with a simultaneous infection. | LitMetric

AI Article Synopsis

  • Surgical resection is the preferred treatment for mature mediastinal teratomas, but complications can arise if the tumor ruptures.
  • A rare case is presented involving a delayed complete resection of a symptomatic teratoma that became infected and ruptured into the pleural space, lung, and bronchus, which can mimic a lung abscess.
  • Video-assisted thoracoscopic surgery may be a viable surgical approach following such an extended rupture.

Article Abstract

Surgical resection remains the treatment of choice for mature mediastinal teratoma, and the operation itself is sometimes complicated or life-threatening, especially when it ruptures into adjacent vital structures. We describe a rare case of unanticipatedly delayed complete resection of a symptomatic teratoma with simultaneous infection, followed by extended rupture into the pleural space, lung, and bronchus. The clinical presentation and the microbiological and radiologic features may lead to the impression of a lung abscess until it can be proven otherwise pathologically after an initial thoracic aspiration. Accordingly, surgical intervention through a minimal approach, such as video-assisted thoracoscopic surgery, might be considered a strategy after the initial extended rupture.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277967PMC
http://dx.doi.org/10.1002/rcr2.394DOI Listing

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