Guzmán de AE, Vázquez MME, Baltazares LME, Ibarra PC

Language: Spanish
References: 7
Page: 202-205
PDF size: 142.89 Kb.

ABSTRACT

A 22 year old woman presented to the ER with a four day history of cough and progressive hemoptysis, up to 500 mL a day. Chest x-rays, CT scan and an arteriogram showed an anterior cystic mediastinal mass in contact with the right upper lobe, with systemic irrigation coming from the right internal mammary artery and lung blushing by contrast media; massive hemoptysis persisted despite a coil embolized to the culprit vessel and the patient was rushed to surgery. The resected specimen included the tumor and a wedge of the anterior segment of the upper lobe; the final diagnosis was benign mature teratoma fistulized into hemorrhagic lung.

REFERENCES

1. Allen MS. Presentation and management of benign mediastinal teratomas. Chest Surg Clin N Am 2002; 12:659-664.

2. Conlan AA, Hurwitz SS, Krige L, et al. Massive hemoptysis. Review of 123 cases. J Thorac Cardiovasc Surg 1983;85:120-124.

3. Gunes S, Varon J, Walsh G. Mediastinal teratoma presenting as massive hemoptysis in an adult. J Emerg Med 1997;15:313-316.

4. Filaire M, Michel-Letonturier M, Garcier JM, Escande G, Boyer L. Benign mature dysembryoma with pulmonary extension revealed by recurrent hemoptysis in a young woman. Cardiovasc Intervent Radiol 2006; 29:465-468.

5. Jeung MY, Gasser B, Gangi A, et al. Imaging of cystic masses of the mediastimum. Radiographics 2002; 22:S79-S93.

6. Ibarra PC, Kelly GJ. Tumores del mediastino. En: Oncología del Tórax. México: UNAM, Coordinación de la Vinculación, PUIS, MA Porrúa; 1999.p.111-140.

7. Ibarra PC, Kelly GJ, Fernández CMA. Guía diagnóstico-terapéutica: tumores y masas del mediastino. Rev Inst Nal Enf Resp Mex 2001;14:172-177.