title: [Blunt thoracic trauma with hemorrhage into a mediastinal lymphangioma--case report].
abstract: We describe a young snowboarder suffering from dyspnea, chest pain and dysphagia following a blunt chest injury. These symptoms were caused by an accident-related hemorrhage within a preexisting lymphangioma of the right posterior mediastinum. At the same time a lymphangioma of the left anterior mediastinum was found. The lymphangioma of the posterior mediastinum was resected through a right posterolateral thoracotomy after thoracoscopy had demonstrated that a complete resection could not be performed on this way. The lymphangioma of the left side was resected 4 month later by a left-sided hemiclamshell approach due to its size and localisation. Complications arising from mediastinal lymphangioma are described as compression, infection, spontaneous bleeding, rupture and chylothorax. This is the first description of a posttraumatic, symptomatic hemorrhage within a mediastinal lymphangioma.
authors.affiliation: Abteilung für Thoraxchirurgie, Klinik für Thorax-, Herz- und Gefässchirurgie, Bern.
authors.forename: M
authors.initials: M
authors.lastname: Menth
authors.forename: M C
authors.initials: MC
authors.lastname: Balmer
authors.forename: H B
authors.initials: HB
authors.lastname: Ris
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D006491:Hemothorax / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008202:Lymphangioma / Q000473:pathology / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008482:Mediastinum / Q000473:pathology / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013898:Thoracic Injuries / Q000473:pathology / Q000601:surgery*; D013906:Thoracoscopy; D013908:Thoracotomy; D014949:Wounds, Nonpenetrating / Q000473:pathology / Q000601:surgery*
vernacular_title: Stumpfes Thoraxtrauma mit Einblutung in ein mediastinales Lymphangiom--Fallbeschreibung.