Fibrosing mediastinitis as a rare sequel of iatrogenic rupture of bronchogenic cyst--a case report.
Fibrosing mediastinitis is a chronic disease process with a spectrum of etiology. We report a 51-year-old female who underwent incision and drainage procedure in the neck for deep neck and mediastinal abscess. Five years later she developed fibrosing mediastinitis. This lesion infiltrated from neck base into the upper mediastinum with tracheal compression and vessel encasement. She had resection of the lesion which proved to be a ruptured bronchogenic cyst with chronic inflammation. This rare case illustrates the importance of including inflammatory bronchogenic cyst in the etiology of deep neck abscess formation. And we further find a ruptured bronchogenic cyst with chronic inflammation as an etiology of fibrosing mediastinitis.
Cheng
Yu-Jen
YJ
Division of Thoracic Surgery, Department of Surgery, E-Da Hospital/I-Shou University, 1 E-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County 824, Taiwan.
Hsieh
Kun-Chou
KC
Hwang
Jau-Chung
JC
D001994:Bronchogenic Cyst / Q000150:complications* / Q000276:immunology; D005260:Female; D005355:Fibrosis; D006801:Humans; D007049:Iatrogenic Disease; D008480:Mediastinitis / Q000209:etiology / Q000276:immunology / Q000473:pathology; D008875:Middle Aged; D012421:Rupture / Q000150:complications