A Case of Chronic Sclerosing Mediastinitis.

Ko, Won Ook; Kim, Gwang Ha; Kim, Yun Seong; Kim, Sa Woong; Park, Seung Keun; Lee, Dong Pil; Hwang, Sung Yun; Ha, Tae Jung; Park, Soon Kew; Shin, Yeong Kee; Lee, Hyung Ryul

doi:1995.42.2.231

Tuberc Respir Dis > Volume 42(2); 1995 > Article

Case Report

Tuberculosis and Respiratory Diseases 1995;42(2):231-237.
DOI: https://doi.org/10.4046/trd.1995.42.2.231 Published online April 1, 1995.

A Case of Chronic Sclerosing Mediastinitis.

Won Ook Ko, Gwang Ha Kim, Yun Seong Kim, Sa Woong Kim, Seung Keun Park, Dong Pil Lee, Sung Yun Hwang, Tae Jung Ha, Soon Kew Park, Yeong Kee Shin, Hyung Ryul Lee

¹Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.
²Department of Thoracic & Cardiovascular Surgery, College of Medicine, Pusan National University, Pusan, Korea.

Abstract

Chronic sclerosing mediastinitis is a rare disease of unknown etiology, pathologically characterized by chronic inflammation and fibrosis of mediastinal soft tissue. The process is often progressive and can occur either focally or diffusely throughout the mediastinum. This can result in compression of adjacent mediastinal structures, most commonly the low-pressure superior vena cava but also the pulmonary artery and vein, trachea and bronchi, esophagus and can result in a variety of functional and roentgenographic manifestation and occasionally death. We experienced a case of chronic sclerosing mediastinitis of unknown cause, which was confirmed by biopsy with thoracotomy, so reported it with a review of literature.

Key Words: Chronic sclerosing mediastinitis