A Giant Cystic Mediastinal Tuberculosis Communicating with Pericardium.

Kim, Jin Hyuk; Yoo, Jee Hong; Choi, Chun Yung; Woo, Tae Wook; Kim, Nam Hoon; Kim, Young Hee; Kang, Hong Mo; Lee, Ju Hie; Sung, Dong Wook

doi:2002.53.4.439

Tuberc Respir Dis > Volume 53(4); 2002 > Article

Case Report

Tuberculosis and Respiratory Diseases 2002;53(4):439-444.
DOI: https://doi.org/10.4046/trd.2002.53.4.439 Published online October 1, 2002.

A Giant Cystic Mediastinal Tuberculosis Communicating with Pericardium.

Jin Hyuk Kim, Jee Hong Yoo, Chun Yung Choi, Tae Wook Woo, Nam Hoon Kim, Young Hee Kim, Hong Mo Kang, Ju Hie Lee, Dong Wook Sung

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.