Tuberc Respir Dis.  2002 Oct;53(4):439-444. 10.4046/trd.2002.53.4.439.

A Giant Cystic Mediastinal Tuberculosis Communicating with Pericardium

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Korea. honglung@chollian.net
  • 2Department of Pathology, School of Medicine, Kyung Hee University, Seoul, Korea.
  • 3Department of Radiology, School of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

We report a very rare case of mediastinal tuberculosis in a 57-year old woman who presented with a large mediastinal cyst on chest radiography. She had a 10-year history of exertional dyspnea, but felt comfortable at a rest. A subsequent chest CT suggested a mediastinal cyst with mediastinal lymphadenopathy and communicating pericardial sac. She underwent a thoracotomy and excision of the mass, which was histologically revealed to be of tuberculous origin. Although rare, the apparent increase in the incidence of tuberculosis may result mediastinal cysts being diagnosed mediastinal tuberculosis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.


MeSH Terms

Dyspnea
Female
Humans
Incidence
Lymphatic Diseases
Mediastinal Cyst
Middle Aged
Pericardium*
Radiography
Thoracotomy
Thorax
Tomography, X-Ray Computed
Tuberculosis*
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