초록접수 현황
| 19F-091 | 포스터 발표 |
Huge Primary Pleural Cyst Mimicking Exophytic Echinococcal Cyst
Jaeshin Yoon, Jiyun Lee, Jung Suk Choi, Kwanyong Hyun, Mi Hyung Moon, Seok Whan Moon, Jae Kil Park, Kyung Soo Kim
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Republic of Korea
Purpose : Thoracic benign cystic mass is mostly demonstrated as congenital bronchogenic or pericardial cyst, but the primary pleural cyst is rarely reported.
Methods : A 58-year-old female visited with incidental huge cystic lesion of right lower thorax without infectious symptoms. The patient had no medical history and radiology study was not performed in her life. Chest x-ray showed pleural mass or effusion, occupying entire right lower thorax and chest computed tomography (CT) suggested pleural effusion with bronchogenic or pericardial cyst. Laboratory studies showed no abnormal findings and medical consultants initiated drainage of fluid contents with percutaneous catheter placement, but huge pleural lesions were still remnant. A liver MRI suggested exophytic echinoccocal cyst that the patient was referred for surgical resection.
Results : VATS was conducted after 4 cm working incision and placement of two 10 mm instrument ports. Yellowish, gelatinous contents were evacuated and thickened cystic walls with adherent diaphragm portions were resected. Pleural decortication was required, and thickened calcified plaques over the center of the diaphragm with tight fibrotic adherences between the liver and diaphragm were resected and suture repaired. The patient discharged on POD#7. Culture studies revealed no growth of bacterial, fungal and parasitic infections. A final pathologic result confirmed primary pleural cyst without showing causative infections. She was tolerable during follow up to 9 months without infectious signs or pleura effusion that staged abdominal surgery was not required.
Conclusion : We present a rare case of a successful thoracoscopic curative resection of the huge pleural cyst, initially mimicked echonococcal cyst.
Methods : A 58-year-old female visited with incidental huge cystic lesion of right lower thorax without infectious symptoms. The patient had no medical history and radiology study was not performed in her life. Chest x-ray showed pleural mass or effusion, occupying entire right lower thorax and chest computed tomography (CT) suggested pleural effusion with bronchogenic or pericardial cyst. Laboratory studies showed no abnormal findings and medical consultants initiated drainage of fluid contents with percutaneous catheter placement, but huge pleural lesions were still remnant. A liver MRI suggested exophytic echinoccocal cyst that the patient was referred for surgical resection.
Results : VATS was conducted after 4 cm working incision and placement of two 10 mm instrument ports. Yellowish, gelatinous contents were evacuated and thickened cystic walls with adherent diaphragm portions were resected. Pleural decortication was required, and thickened calcified plaques over the center of the diaphragm with tight fibrotic adherences between the liver and diaphragm were resected and suture repaired. The patient discharged on POD#7. Culture studies revealed no growth of bacterial, fungal and parasitic infections. A final pathologic result confirmed primary pleural cyst without showing causative infections. She was tolerable during follow up to 9 months without infectious signs or pleura effusion that staged abdominal surgery was not required.
Conclusion : We present a rare case of a successful thoracoscopic curative resection of the huge pleural cyst, initially mimicked echonococcal cyst.
책임저자: Kyung Soo Kim
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Republic of Korea
발표자: Jaeshin Yoon, E-mail : wotls614@naver.com