Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
The patient was an eleven year old male with upper respiratory
symptoms and wheezing who had a past medical history remarkable for
esophageal atresia and tracheoesophageal fistula, repaired in
infancy.
Clinical Physical Exam:
Wheezing
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Airway obstruction
Imaging Findings:
Chest film showed a superior mediastinal mass. A barium swallow (not
provided) showed the esophageal anastomosis to be widely patent, and
the mass was noted to be retrosternal in position. A chest CT exam
showed a cystic structure in the anterior mediastinum.
Imaging Differential Diagnosis:
Thymic cyst
Operative Findings:
The patient was taken to the operating room electively several days
later. A cystic mass was removed from the anterior mediastinum.
Pathological Findings:
Pathological examination of the mass revealed findings characteristic
for a thymic cyst.
Final Diagnosis:
Thymic Cyst
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. Post
operatively his wheezing disappeared, apparently the cyst had pushed
the great vessels against the trachea and caused the wheezing.
Similar Cases:
Case 33,
Case 37,
Case 38,
Case 39,
Case 40,
Case 41,
Case 60
References:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2023 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.
URL: http://www.virtualpediatrichospital.org/