1/5. Mycotic pseudoaneurysm of the ascending aorta after mediastinitis in an infant.Mycotic pseudoaneurysm of the aorta is a rare disease in children. We report our experience with a postoperative mycotic pseudoaneurysm of the ascending aorta secondary to mediastinitis after a modified fontan procedure. The pseudoaneurysm was successfully repaired using an autologous pericardial patch through a right thoracotomy under total circulatory arrest. During 6 months of postoperative follow-up, there were no recurrences of pseudoaneurysm formation.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
2/5. salmonella mediastinitis--a rare disease.A case report is presented of a young man who was seen because of pleuritic chest pain and fever. CT cross sectional imaging defined a mediastinal mass. diagnosis of acute mediastinitis due to salmonella java was made from culturing material at mediastonotomy.- - - - - - - - - - ranking = 4keywords = rare disease (Clic here for more details about this article) |
3/5. Descending necrotising mediastinitis: a case report and review of the literature.We report a case of descending necrotising mediastinitis complicating an oropharyngeal infection in a 25-year-old male. The clinical presentation, the diagnosis and the management of this rare disease and its complications are discussed in this case report with a brief review of the literature.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
4/5. hemoptysis and hematemesis due to a broncholith: granulomatous mediastinitis.A 40-year-old man had new onset of hemoptysis and hematemesis. bronchoscopy revealed red, inflamed mucosa with apparent rich blood supply in the left primary bronchus. Computed tomography revealed calcified subcarinal lymph nodes with a small extension into the left primary bronchus. Shortly after admission, the patient had an episode of gastrointestinal bleeding. Esophagogastroduodenoscopy showed a lesion in the posterior wall of the esophagus, 12 cm from the upper incisors. During exploratory thoracotomy, a single piece of irregular-shaped tan tissue measuring 3.5 x 2.5 x 2.0 cm and engulfing the esophagus, carina, and left primary bronchus was dissected. A single stonelike mass, or broncholith, was found to involve both the trachea and the esophagus. Microscopic examination showed multiple caseating granulomas with surrounding lymphoid tissue and germinal centers. During 12 months of follow-up, the patient has remained asymptomatic. The chronic inflammation in this case suggested granulomatous mediastinitis, a rare disease whose mass-like effects may contribute to structural compression. The trachea and esophagus are rarely involved. tuberculosis and histoplasmosis are thought to be the two most common causes of granulomatous mediastinitis. Chronic inflammation leading to calcification and broncholith may invade bronchial lumen or esophageal wall, causing life-threatening hemorrhage and necessitating prompt surgical intervention.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
5/5. Mediastinal compression syndromes due to idiopathic fibrosing mediastinitis--report of three cases and review of the literature.Fibrosing mediastinitis is the most often observed benign cause of mediastinal compression syndromes, particularly the vena cava superior syndrome. We report 3 cases with such compression syndromes (2 x superior vena cava syndrome, 1 x symptomatic tracheal obstruction) due to fibrosing mediastinitis in which tumor resection led to a relief of symptoms. The operative procedures performed in our cases and in general as well as conservative treatment modalities reported for this rare disease are discussed with respect to our own experience and that of the recent publications in the European and American literature.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |