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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Updated: Jun 17, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Published on: August 1, 2025

Thymic cyst simulating aortic aneurysm.

C Sundström1

  • 1Department of Pathology, University of Uppsala, Uppsala, Sweden.

Upsala Journal of Medical Sciences
|January 19, 2010
PubMed
Summary
This summary is machine-generated.

Rare non-infectious thymic cysts can cause chest pain in adults. A 39-year-old man with prolonged precordial pain was diagnosed with a multilobular thymic cyst, highlighting atypical presentations of these rare mediastinal masses.

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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

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Published on: June 11, 2019

Area of Science:

  • Thoracic Surgery
  • Pathology
  • Diagnostic Imaging

Background:

  • Non-infectious, non-neoplastic thymic cysts are uncommon mediastinal masses.
  • Typically asymptomatic and found in younger individuals, thymic cysts present diagnostic challenges.

Observation:

  • A 39-year-old male presented with a 7-year history of precordial pain, escalating to intense chest pain.
  • Initial suspicion of aortic aneurysm was investigated via retrograde aortography, which yielded normal results.

Findings:

  • Surgical exploration revealed a multilobular thymic cyst occupying the anterior mediastinum.
  • Histopathological examination indicated the cyst was predominantly lined by squamous epithelium.

Implications:

  • This case underscores that thymic cysts, though rare, can manifest with significant symptoms like precordial pain in adults.
  • Atypical presentations necessitate a broad differential diagnosis for anterior mediastinal masses, including non-neoplastic cysts.
  • Highlights the importance of surgical exploration in diagnosing persistent chest pain when imaging is inconclusive.