A Fat Density Mass in the Mediastinum.
10.4046/trd.2005.58.2.188
- Author:
Su Beom HEO
1
;
Eun Suk ROH
;
Dae Sung KIM
;
Eui Hiung KIM
;
Ji Ho KANG
;
Sang Haak LEE
;
Hwa Sik MOON
;
Jeong Sup SONG
;
Sung Hak PARK
;
Chan Beom PARK
;
Bae Young LEE
;
Hyeon Sook KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. mdlee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Diaphragmatic omental hernia;
Mediastinal tumor;
Fat
- MeSH:
Diagnosis, Differential;
Female;
Hernia;
Humans;
Mediastinum*;
Middle Aged;
Thoracotomy;
Thorax;
Tomography, X-Ray Computed
- From:Tuberculosis and Respiratory Diseases
2005;58(2):188-191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 47-year-old female was admitted for an evaluation of a left mediastinal mass. The chest X-ray performed 16 months ago was normal, but the chest X-ray upon admission showed a large mass adjacent to the anterior aspect of the left hemidiaphragm. The CT scan demonstrated a large mass with a fat density in the left lower hemithorax. A focal diaphragmatic defect behind the xiphoid process was suspected. A thoracoscopic examination revealed omental herniation through the diaphragmatic defect. Therefore, a left thoracotomy was performed and the defect was repaired. We believe that a differential diagnosis should be needed to include a diaphragmatic omental hernia when a fat density mass is observed in the mediastinum.
