scholarly journals Severe hypoxemia and hypotension during general anesthesia of a patient with an anterior mediastinal mass - A case report -

2009 ◽  
Vol 57 (6) ◽  
pp. 754
Author(s):  
Sang-Jin Park ◽  
Min-Jung Heo
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Mediastinal Mass ◽  
Anterior Mediastinal Mass ◽  
Severe Hypoxemia

scholarly journals Transient maintenance of tracheal patency upon the insertion of a flexible bronchoscope in a patient with an anterior mediastinal mass: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takayuki Hasegawa ◽  
Shinju Obara ◽  
Rieko Oishi ◽  
Satsuki Shirota ◽  
Jun Honda ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Mediastinal Mass ◽  
Balloon Dilation ◽  
Maximum Flow ◽  
Anterior Mediastinal Mass ◽  
Positive Pressure ◽  
Anesthesia Induction ◽  
Flexible Bronchoscope ◽  
Case Presentation ◽  
Tracheal Collapse

Abstract Background Patients with an anterior mediastinal mass are at risk of perioperative respiratory collapse. Case presentation A 74-year-old woman with a large anterior mediastinal mass that led to partial tracheal collapse (shortest diameter, 1.3 mm) was scheduled for tracheobronchial balloon dilation and stent placement under general anesthesia. Although veno-venous extracorporeal membrane oxygenation (V-V ECMO) had been established, maximum flow was limited to 1.6 L/min, and general anesthesia induction was followed by hypoxia probably due to inadequate ventilation. A flexible bronchoscope was inserted through the tracheal lumen that was being compressed by the anterior mass; this not only increased tracheal patency but also enabled positive pressure ventilation and resulted in recovery from hypoxia. Scheduled procedures were successfully performed without complications. Conclusion We describe a case wherein tracheal patency was transiently maintained by inserting a flexible bronchoscope in a patient with an anterior mediastinal mass.

Primary Mucinous Adenocarcinoma of the Thymus: A Case Report and Review of the Literature

2006 ◽  
Vol 130 (2) ◽  
pp. 201-204 ◽  
Author(s):  
Payal Kapur ◽  
Dinesh Rakheja ◽  
Michael Bastasch ◽  
Kyle H. Molberg ◽  
Venetia R. Sarode
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Mucinous Adenocarcinoma ◽  
Mediastinal Mass ◽  
The Body ◽  
Anterior Mediastinal Mass ◽  
Review Of The Literature ◽  
Specific Identification ◽  
Biopsy Specimens ◽  
Thymic Neoplasm

Abstract Primary thymic mucinous adenocarcinoma is extremely rare; to our knowledge, only 2 cases have been reported to date. We describe a third case of primary mucinous adenocarcinoma of the thymus in a 41-year-old man who presented with an anterior mediastinal mass with subsequent metastasis to the lung. The initial diagnosis was of metastatic mucinous adenocarcinoma, but extensive clinical workup of the patient failed to reveal a primary tumor elsewhere in the body. The specific identification of mucinous adenocarcinoma as a primary thymic neoplasm can be difficult or impossible. Morphologic and immunophenotypic similarities to mucinous adenocarcinomas of the gastrointestinal tract can pose diagnostic challenges for surgical pathologists, especially in small biopsy specimens.

An unusual case of thymolipoma as an anterior mediastinal mass in a 17-year-old girl—case report

2016 ◽  
Vol 32 (2) ◽  
pp. 146-148
Author(s):  
Chandan Kumar Ray Mohapatra ◽  
Ranjitsinh Bapusaheb Jadhav ◽  
Abdul Majeed Mulla ◽  
Jayant Vasant Khandekar ◽  
Ganesh Kumar Ammannaya
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Mediastinal Mass ◽  
Anterior Mediastinal Mass

scholarly journals Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
H. Kafrouni ◽  
Joelle Saroufim ◽  
Myriam Abdel Massih
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Intraoperative Complications ◽  
Anesthetic Management ◽  
Preoperative Assessment ◽  
Anterior Mediastinal Mass ◽  
Tracheal Obstruction ◽  
Mediastinal Masses ◽  
Increased Risk

Background. Patients suffering from undiagnosed obstruction of the central airways: the trachea and main stem bronchi are at increased risk for perioperative and postoperative complications, especially if general anesthesia is performed. Case Description. This report discusses a 30-year-old asymptomatic Caucasian female who faced recurrent distal airway collapse during mediastinoscopy for biopsy of an anterior mediastinal mass, which led to the inability to extubate her. This case examines the necessity of a thorough preoperative assessment especially in patients with undiagnosed tracheal obstruction and a precise coordination between anesthesiologist and surgeon in being able to perform a safe and smooth anesthesia, in order to avoid life-threatening complications and to reduce further morbidity. Methods. The scope of this case report is restricted to publications in all surgical and anesthesiological specialties among adult patient population. Main search key words were as follows: “tracheal obstruction,” “general anesthesia,” “mediastinum,” and “tumors” Results. The literature supports an increased perioperative risk of airway obstruction with the use of general anesthesia in patients with anterior mediastinal masses. This case report suggests a perioperative anesthetic management modality for patients presenting with anterior mediastinal masses and who are at high risk of cardiovascular compression and tracheal obstruction. Thus, it is highly important to note that evidence-based recommendations are not available in the literature. Conclusions. This case report suggests perioperative management modalities performed by anesthesiologists in order to minimize the risk of airway obstruction among patients having anterior mediastinal masses and shed the lights on the importance of proper anesthetic and surgical planning in order to prevent intraoperative complications and improve the quality of healthcare provided to patients presenting critical cases.

scholarly journals Pulmonary blastoma: a case report of a rare lung tumour

2017 ◽  
Vol 4 (2) ◽  
pp. 823
Author(s):  
Bishal Gautam ◽  
Sanjeev Devgarha ◽  
R. M. Mathur ◽  
Anula Sisodiya
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Male Patient ◽  
Lung Tissue ◽  
Mediastinal Mass ◽  
Anterior Mediastinal Mass ◽  
Lung Tumour ◽  
Pulmonary Blastoma ◽  
Lung Tumours ◽  
Foetal Lung

Pulmonary blastomas are a rare aggressive neoplasm comprising 0.25-0.5% of all primary lung tumours. Morphologically they mimic foetal lung tissue before 4 months gestation. Study reports a case of 23-year-old male patient who came with heaviness in chest and breathing difficulty since one and a half months. On CT scan of chest, findings are suggestive of anterior mediastinal mass extending till right hila with cardiac displacement and compression. Histopathology confirmed the presence of pulmonary blastoma.

scholarly journals Case Report of An Unusual Mediastinal Mass - Thymolipoma

2020 ◽  
Vol 7 (11) ◽  
pp. C169-171
Author(s):  
Sreeja Raju ◽  
Divya S ◽  
M C Savithri ◽  
Ajaykumar KK ◽  
Gayathri G Nair
Keyword(s):  
Case Report ◽  
World Literature ◽  
Mediastinal Mass ◽  
Anterior Mediastinal Mass ◽  
Chest Discomfort ◽  
Mediastinal Neoplasms ◽  
Slow Growing

Thymolipomas are rare, slow-growing, benign anterior mediastinal neoplasms which are very often detected incidentally. Here we present a case of a 47 year old female who presented with chest discomfort and radiology revealed an anterior mediastinal mass. Total thymectomy was done and histopathology showed features consistent with thymolipoma. Very few cases of thymolipomas have been reported in Indian and world literature.

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