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Posterior mediastinal accessory thymus.

J Bar-Ziv, Y Barki, Y Itzchak

    Pediatric Radiology
    |January 1, 1984
    PubMed
    Summary
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    A rare case of ectopic thymus in an infant caused tracheal obstruction. Surgical removal of this accessory thymus successfully relieved the airway compression.

    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Developmental Biology

    Background:

    • Ectopic thymus tissue can occur in various locations, including the mediastinum.
    • Accessory thymic tissue is a rare congenital anomaly.
    • Mediastinal masses in infants can present with critical symptoms like tracheal obstruction.

    Observation:

    • A 40-day-old infant presented with symptoms of tracheal obstruction.
    • Imaging revealed a mass in the right upper posterior mediastinum compressing the trachea.
    • High kVp filtration technique and ultrasonography were crucial for mass identification.

    Findings:

    • Histopathological examination confirmed the mass as accessory ectopic thymus tissue.
    • The ectopic thymus was identified as the cause of tracheal compression and displacement.

    Related Experiment Videos

  • Surgical excision of the accessory thymus was performed.

    • Implications:

    • This case highlights the importance of considering rare ectopic tissues in the differential diagnosis of infant mediastinal masses.
    • Advanced imaging techniques are vital for precise localization and characterization of pediatric thoracic abnormalities.
    • Timely surgical intervention for symptomatic ectopic thymic tissue can lead to favorable outcomes in infants.