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Updated: Jun 12, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Pericardial cyst that involved thoracic duct].
Eisuke Matsuda1, Kazunori Okabe, Hiromasa Yamamoto
1Department of Chest Surgery, Yamaguchi-Ube Medical Center, Ube, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 11, 2010
Summary
A large pericardial cyst caused a 79-year-old man's swallowing issues. Surgical removal led to chylothorax, successfully treated by ligating the thoracic duct.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Pericardial cysts are rare, benign fluid-filled sacs.
- Posterior mediastinal masses can cause compressive symptoms like dysphagia.
- Computed tomography (CT) is crucial for diagnosing mediastinal abnormalities.
Observation:
- A 79-year-old male presented with dysphagia.
- Imaging revealed a 7x6 cm cystic mass in the posterior mediastinum, suspected to be a pericardial cyst.
- Initial cyst removal (cysticotomy) was complicated by chylothorax three days post-operatively.
Findings:
- The chylothorax was attributed to an aperture of the thoracic duct within the cyst.
- Conservative management for chylothorax was ineffective.
- A second operation successfully ligated the thoracic duct, resolving the chylothorax.
Implications:
- This case highlights a rare complication of pericardial cyst surgery.
- Thoracic duct injury is a potential risk during mediastinal procedures.
- Prompt surgical intervention may be necessary for managing complex chylothorax post-cyst removal.
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