Document Detail


Traumatic mediastinal lymphocele mimicking other thoracic injuries: case report.
MedLine Citation:
PMID:  1501270     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thoracic duct injury and chylothorax are rare consequences of blunt thoracic trauma. A contained mediastinal lymph collection (ie, lymphocele) is rarer still. The article describes a case of posttraumatic mediastinal widening resulting from a high-speed motor vehicle accident. During the patient's radiologic assessment aortic rupture, paraspinal hematoma, esophageal injury, mediastinal tumor, and pseudomeningocele were sought and subsequently excluded. At this point a traumatic lymphocele was suggested, and the diagnosis was confirmed by computed tomography-guided percutaneous needle aspiration. The anatomy and physiology of the thoracic duct are reviewed.
Authors:
M Hom; H Jolles
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  7     ISSN:  0883-5993     ISO Abbreviation:  J Thorac Imaging     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  78-80     Citation Subset:  IM    
Affiliation:
Department of Radiology, Medical College of Virginia Hospitals, Richmond 23298-0615.
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Female
Humans
Lymphocele / diagnosis,  etiology*
Magnetic Resonance Imaging
Mediastinal Diseases / diagnosis,  etiology*
Thoracic Duct / injuries*
Thoracic Injuries / complications,  diagnosis*
Tomography, X-Ray Computed
Wounds, Nonpenetrating / complications,  diagnosis*

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