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A refractory right cervical mediastinal lymphangioma with medication and insertion of a Denver shunt.
J Surg Case Rep
December 2024
Department of Pediatric Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, 118-1 Arakawa, Haebaru-cho, Shimajiri-gun, Okinawa 901-1193, Japan.
The Denver shunt is used for persistent chylothorax as a pleuroperitoneal shunt. Insertion of a Denver shunt was attempted in the current case involving a 3-year-old male with a refractory right cervical mediastinal lymphangioma. He was medicated with Eppikajutsuto® (0.
View Article and Find Full Text PDFYellow nail syndrome linked to a mediastinal lipoma: a case report.
J Med Case Rep
December 2024
Department of Pulmonology, Pius-Hospital Carl Von Ossietzky University, Oldenburg, Germany.
Article Synopsis
- Yellow nail syndrome is a rare condition marked by yellow nails, respiratory issues, and swelling, primarily due to lymphatic drainage problems and with a prevalence of less than 1 in a million.
- A case study of a 73-year-old man revealed symptoms like shortness of breath and swollen limbs, leading to a diagnosis of yellow nail syndrome, likely caused by a mediastinal lipoma affecting the thoracic duct.
- Treatment included lymphatic embolization after conservative measures failed, highlighting the importance of identifying underlying causes and available interventions.
Lymphatic Disorder Management in Pediatric Patients With Congenital Heart Disease in European Pediatric Cardiology Centers: Current Status, Disparities, and Future Considerations.
J Am Heart Assoc
November 2024
Department Pediatric Cardiology Children's Health Ireland at Crumlin Dublin Ireland.
Background: Lymphatic disorders such as protein-losing enteropathy, plastic bronchitis, and chylothorax are important complications of the Fontan circulation and ultimately result in an increased risk of early death. Several European centers are now performing lymphatic procedures. The aim of this study is to map the extent of these lymphatic disorders and treatments provided across European pediatric cardiology centers.
View Article and Find Full Text PDFMediastinal drainage combined with upper mediastinal re-tunneling vs. mediastinal drainage alone in McKeown esophagectomy of esophageal cancer: a retrospective study.
Front Surg
October 2024
Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Background: Although mediastinal drainage may lower the risk of anastomotic leakage, the incident rate of anastomotic leakage is still high. The current study aimed to compare the effects of mediastinal drainage combined with upper mediastinal re-tunneling with mediastinal drainage only on anastomotic leakage after McKeown esophagectomy for esophageal cancer.
Methods: From October 2018 to March 2021, 52 patients diagnosed as esophageal carcinoma were included in the study.
Lymphatic magnetic resonance imaging abnormalities in children with repaired tetralogy of Fallot.
Cardiol Young
October 2024
Department of Thoracic Surgery, Rigshospitalet, Copenhagen, Denmark.
Article Synopsis
- Tetralogy of Fallot patients often develop complications like chylothorax and pleural effusions after surgery due to factors affecting their lymphatic system.
- This study evaluated the structure and function of the lymphatic system in young post-repair patients using advanced imaging techniques.
- Although no clinical lymphatic disease was observed, some patients showed significant lymphatic abnormalities, prompting the need for further research to understand the cause and implications of these findings.
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