Paraesophageal omental hernia mimics pleural lipomatous tumor.
Paraesophageal omental herniation (POH) is uncommon. CT scan and MRI are complementary in diagnosis. We present a posterior mediastinal mass in a 43 year old male with a history of myxoid liposarcoma raising the suspicion of latent secondary tumor. Subsequently, at thoracotomy he was found to have a POH. Differential diagnosis, work-up and surgical approach are discussed.
Anderson
T M
TM
Roswell Park Center Institute, Department of Surgical Oncology, Buffalo, NY 14263, USA.
Gibbs
J F
JF
Kollmorgen
D R
DR
Urschel
J D
JD
D001706:Biopsy; D003937:Diagnosis, Differential; D004945:Esophagoscopy; D006551:Hernia, Hiatal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008080:Liposarcoma / Q000150:complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000473:pathology; D010997:Pleural Neoplasms / Q000150:complications / Q000175:diagnosis*; D013902:Radiography, Thoracic; D019616:Thoracic Surgical Procedures; D014057:Tomography, X-Ray Computed