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Mediastinal hemangioma: Masquerading as pleural effusion
J Deepak1, M Narendra Babu1, B C Gowrishankar1
1Department of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India.
Insights
A rare mediastinal hemangioma was found in a 4-year-old child presenting with cough and fever. Surgical resection and histopathology confirmed the diagnosis of mediastinal capillary hemangioma.
Area of Science:
- Pediatric Surgery
- Thoracic Oncology
- Vascular Malformations
Background:
- Mediastinal hemangiomas are rare benign vascular tumors.
- Diagnosis in children can be challenging due to nonspecific symptoms.
Observation:
- A 4-year-old child presented with cough and fever.
- Chest radiography showed right pleural effusion.
- Chest CT revealed a large mediastinal cystic mass.
Findings:
- Complete surgical resection of the mediastinal mass was achieved via right thoracotomy.
- Histopathological examination confirmed a mediastinal capillary hemangioma.
Implications:
- This case highlights the importance of considering rare diagnoses in pediatric patients with respiratory symptoms.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in mediastinal hemangioma.
Abstract:
We present a rare case of mediastinal hemangioma in a 4-year-old child. The child presented with cough and fever and the chest radiograph revealed right pleural effusion. On further work-up with chest computed tomography mediastinal cystic mass occupying the right hemithorax was identified. The cystic mass was resected completely through a right thoracotomy. Histopathological examination established the final diagnosis of mediastinal capillary hemangioma.
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