1.A Fat Density Mass in the Mediastinum.
Su Beom HEO ; 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
Tuberculosis and Respiratory Diseases 2005;58(2):188-191
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.
Diagnosis, Differential
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Female
;
Hernia
;
Humans
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Mediastinum*
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Middle Aged
;
Thoracotomy
;
Thorax
;
Tomography, X-Ray Computed
Result Analysis
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