Cases reported "Mediastinal Diseases"

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1/15. sarcoidosis and giant midesophageal diverticulum.

    traction diverticula of the midesophagus result from granulomatous inflammation of mediastinal lymph nodes. tuberculosis and histoplasmosis are known etiologies of this condition. To the best of our knowledge, this is the first report of a traction diverticulum caused by sarcoidosis.
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2/15. Immediate surgical rescue for mediastinal compression by giant metastatic lung tumor.

    Mediastinal compression by a large metastatic lung tumor is a life-threatening condition and needs immediate decompression. We performed palliative surgical rescue for 2 patients aged 42 and 30 years with these conditions, and were able to control their symptoms. patients were free of symptoms soon after the operation. Palliative surgical rescue can relieve the symptoms immediately and improve the general condition dramatically. We think that surgical rescue is worthwhile, especially for younger patients.
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3/15. aneurysm of coronary arteriovenous fistula presenting as a calcified mediastinal mass.

    A 61-year-old woman with a giant aneurysm of the coronary arterial fistula between the left anterior descending coronary artery and the main pulmonary artery underwent aneurysmal resection and closure of the fistula. This was a very unusual case with rare congenital malformation with secondary atherosclerotic change.
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4/15. Giant right coronary artery aneurysm presenting as a mediastinal mass.

    Coronary artery aneurysms are commonly of atherosclerotic origin and are frequently asymptomatic. However, they may have varied presentations including angina, myocardial infarction, and sudden death. A case of a giant right coronary artery aneurysm presenting with acute myocardial infarction is presented, where the aneurysm appeared to be a mediastinal mass on transthoracic and transoesophageal echocardiography. Although computed tomography and magnetic resonance imaging of the heart suggested the correct diagnosis, definitive proof came from coronary angiography. Coronary artery aneurysms should be considered in the differential diagnosis of mediastinal masses.
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keywords = giant
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5/15. azygos vein varix mimicking mediastinal mass in a patient with liver cirrhosis: a case report.

    A giant venous varix of the azygos arch is a very rare cause of a mediastinal mass. The usual diagnosis of a mediastinal mass by mediastinoscopy or percutaneous fine-needle aspiration or biopsy is very hazardous if there is a venous varix. Noninvasive thoracic CT scanning is a safe and better choice for diagnosis. We describe the case of a woman with a posterior mediastinal mass caused by a giant azygos vein varix. Thoracic CT documented the diagnosis. The etiology of the azygos varix was portal hypertension secondary to liver cirrhosis.
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keywords = giant
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6/15. Giant primary mediastinal hydatid cyst causing Horner's syndrome: report of a case.

    As the liver and the lungs are the most common sites for hydatid cysts, a primary mediastinal involvement is quite rare. The symptoms related to primary mediastinal hydatid cysts usually depend on the size, location and compression to nearby structures. Presenting a 51-year-old male patient with the symptoms of Horner's syndrome, we draw attention to a rare complication of a giant primary mediastinal hydatid cyst and its challenging management.
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7/15. cholesterol granuloma of the superior mediastinum.

    cholesterol granuloma develops as a response to cholesterol acting as an irritant and causing giant cell formation. This more commonly affects the sinuses with no previous report in the mediastinal region. We describe such a case in a cardiac surgical patient with an incidental finding of testicular lumps.
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8/15. Combined sarcoidosis and disseminated visceral giant cell vasculitis.

    A middle-aged man with only slight symptoms of disease of short duration died suddenly. On autopsy he was found to have not only disseminated visceral giant cell vasculitis with involvement of large and medium-sized arteries and veins, but also sarcoid granulomas in many organs, especially in enlarged mediastinal lymph nodes as well as in several vessel walls. death was caused by myocardial infarction due to granulomatous vasculitis. This combination of diseases has not previously been described, and the question is whether it represents giant cell arteritis and sarcoidosis, separately, or whether it is a manifestation of a broad spectrum of the same disease.
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keywords = giant
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9/15. Giant aneurysm of membranous septum. Unusual cause of mediastinal mass.

    A case of giant aneurysm of the membranous interventricular septum which presented as a mediastinal mass is described. Aneurysms of the membranous septum are rare and usually found incidental to the main cause of the patient's complaints. They are most commonly associated with ventricular septal defects but can also be found in the presence of ventriculoarterial discordance, atrioventricular canal defects, and semilunar valve abnormalities. In patients presenting with a mediastinal mass which may be cardiac, full left and right heart catheterisation are necessary; a simple right heart study is inadequate.
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10/15. Mediastinal lymph node hyperplasia, hypergammaglobulinemia, and anemia.

    An adolescent girl with retarded development, delayed puberty, and hypergammaglobulinemia had anemia unresponsive to iron therapy that was cured when a mass of mediastinal giant lymph node hyperplasia was removed surgically. Rapid growth and development of secondary sexual characteristics occurred after operation. follow-up studies made 20 years after operation showed compensated increased erythrocyte hemolysis and increased serum IgM. When mediastinal giant lymph node hyperplasia with abundant plasma cells is seen in childhood, there may be refractory anemia and immune disturbances. Similar giant lymph node hyperplasia without plasma cells may be found in an asymptomatic child or adult. The pertinent features of the few symptomatic cases reported are reviewed.
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ranking = 0.75
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