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A symptomatic anterior mediastinal mass with a simultaneous Haemophilus influenzae infection

Hui Zen Hee1,2, Chun-Ku Chen3, Yi-Chen Yeh4

  • 1Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan.

Respirology Case Reports
|December 12, 2018
PubMed

Insights

Complete resection of a symptomatic mediastinal teratoma complicated by Haemophilus influenzae infection and rupture is challenging. Minimal surgical approaches like VATS may be considered for complex cases.

Area of Science:

  • Thoracic Surgery
  • Infectious Diseases
  • Surgical Oncology

Background:

  • Mature mediastinal teratomas are typically treated with surgical resection.
  • Complications can arise, particularly with rupture into vital structures.

Observation:

  • A rare case of a symptomatic mediastinal teratoma with simultaneous Haemophilus influenzae infection is presented.
  • The teratoma ruptured into the pleural space, lung, and bronchus, mimicking a lung abscess.

Findings:

  • Delayed complete resection was successfully performed.
  • Microbiological and radiological findings initially suggested a lung abscess.

Implications:

  • This case highlights the diagnostic challenges of infected, ruptured mediastinal teratomas.
  • Video-assisted thoracoscopic surgery (VATS) may be a viable minimal approach for complex ruptures.
Keywords:
Haemophilus influenzae infectionlung abscessmature mediastinal teratoma

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