scholarly journals A rare case of combined thymoma and a multilocular thymic cyst discovered due to chest pain

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kengo Yasuda ◽  
Yoshiteru Kidokoro ◽  
Karen Makishima ◽  
Shinji Matsui ◽  
Atsuyuki Nakanishi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Definitive Diagnosis ◽  
Brachiocephalic Vein ◽  
Extended Thymectomy ◽  
Case Presentation ◽  
Left Brachiocephalic Vein ◽  
Post Surgery ◽  
Hemorrhagic Necrosis ◽  
Thymic Cysts ◽  
Anti Acetylcholine

Abstract Background A thymoma with chest pain and multilocular thymic cysts (MTCs) is very rare. Case presentation A 49-year-old man presented to another hospital complaining of an anterior chest pain. Chest computed tomography (CT) showed an anterior mediastinal tumor 60 × 30 × 55 mm in size. The boundary with the pericardium or left brachiocephalic vein seemed to be partially unclear while enhanced by the contrast medium, and so the tumor could have invaded them. No definitive diagnosis of myasthenia gravis was made although the serum anti-acetylcholine receptor antibody count was high. We performed an extended thymectomy with combined partial resection of left brachiocephalic vein, left upper lobe, and left phrenic nerve. He was discharged with no chest pain and no complications post-surgery. The tumor was pathologically type B2 thymoma with hemorrhage necrosis and MTCs, and we diagnosed Masaoka stage II because of no histological infiltration to the organs. Conclusions We speculated that hemorrhagic necrosis due to infarction in tumor caused the inflammation to spread to the surrounding organs, which was related to the chest pain and the development of MTCs.

Chest case of the day. Obstruction of the left brachiocephalic vein.

1992 ◽  
Vol 158 (6) ◽  
pp. 1358-1359 ◽  
Author(s):  
J A Worrell ◽  
F E Caroll ◽  
D M O'Donnell
Keyword(s):  
Brachiocephalic Vein ◽  
Left Brachiocephalic Vein

Robotic Resection of a Left Brachiocephalic Vein Aneurysm Mimicking Thymoma

2020 ◽  
Vol 63 ◽  
pp. 461.e1-461.e5
Author(s):  
Madalina Grigoroiu ◽  
Alessio Mariolo ◽  
Walid Abid ◽  
Cedric Foussier ◽  
Nina Weber ◽  
...  
Keyword(s):  
Brachiocephalic Vein ◽  
Left Brachiocephalic Vein ◽  
Robotic Resection

Multilocular Thymic Cyst in a Patient with Untreated HIV/AIDS: Case Report and Review of the Literature

2022 ◽  
Vol 20 ◽  
Author(s):  
Mary M Czech ◽  
William Ogden ◽  
Rashmi Batra ◽  
Joseph D Cooper
Keyword(s):  
Human Immunodeficiency Virus ◽  
Case Report ◽  
Radiographic Imaging ◽  
Review Of The Literature ◽  
Presumptive Diagnosis ◽  
Case Presentation ◽  
Presenting Symptoms ◽  
Immunodeficiency Virus ◽  
Thymic Cysts ◽  
Multilocular Thymic Cyst

Background: Multilocular thymic cysts (MTCs) in adults with human immunodeficiency virus (HIV) are rarely reported. Case Presentation: We describe a case of symptomatic MTC in a male with untreated HIV. A presumptive diagnosis was established based on radiographic imaging and biopsy. Pathologic diagnosis and exclusion of malignancy were ultimately confirmed the following thymectomy. In conjunction with starting antiretroviral therapy, the patient recovered well post-operatively with a resolution of his presenting symptoms. Conclusion: Our case report and review of the literature serve to highlight MTCs as an important clinical entity occurring in persons with HIV.

scholarly journals Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901987921
Author(s):  
Edwin Kean Siong Ong ◽  
Tat Seng Wong ◽  
Weng Hong Chung ◽  
Chee Kidd Chiu ◽  
Aik Saw ◽  
...  
Keyword(s):  
Superior Vena ◽  
Vena Cava ◽  
Rare Condition ◽  
Posterior Spinal Fusion ◽  
Brachiocephalic Vein ◽  
Left Brachiocephalic Vein ◽  
Significant Correction ◽  
Upper Thoracic ◽  
Neurovascular Structures ◽  
Fibula Strut

Aberrant left brachiocephalic vein is a rare condition. Its occurrence in patients requiring anterior cervicothoracic approach for severe kyphoscoliosis has not been described. A 16-year-old male with neurofibromatosis and severe upper thoracic kyphoscoliosis presented to us with curve progression. Halo gravity traction was attempted but failed to achieve significant correction. Subsequently, he underwent halo-pelvic traction and later Posterior Spinal Fusion (PSF) from C2 to T10. Second-stage anterior cervicothoracic approach with anterior fibula strut grafting was planned; however, preoperative computed tomography angiography revealed an aberrant left brachiocephalic vein with an anomalous retrotracheal and retroesophageal course, directly anterior to the T5/T6 vertebrae (planned anchor site for fibula strut graft) before draining into superior vena cava. Therefore, surgery was abandoned due to the risks associated with this anomaly. Aberrant left brachiocephalic vein is rare, the presence of which could be a contraindication for anterior cervicothoracic approach. Assessment of the anterior neurovascular structures is crucial in preoperative planning.

scholarly journals A rare but treatable cause of recurrent chest pain - Ictal chest pain

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ching Soong Khoo ◽  
Dongah Lee ◽  
Kang Min Park ◽  
Byung In Lee ◽  
Sung Eun Kim
Keyword(s):  
Chest Pain ◽  
Cardiac Work ◽  
Case Presentation ◽  
Neurology Clinic ◽  
Work Up

Abstract Background Chest pain as the primary manifestation of epilepsy is extremely rare and has only been reported once to date. Case presentation We herein describe a 47-year-old woman with recurrent chest pain for 3 years. The cause of her chest pain remained elusive despite extensive investigations including comprehensive cardiac work-up. She was referred to the neurology clinic for one episode of confusion. Video-electroencephalographic monitoring detected unequivocal ictal changes during her habitual chest pain events. She has remained chest pain (seizure) free with a single antiseizure drug. Conclusions This case underlines the importance of epilepsy as a rare yet treatable cause of recurrent chest pain. Further studies are required to determine the pathophysiology of ictal chest pain.

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