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J Thorac Cardiovasc Surg 2007;134:1373-1374
© 2007 The American Association for Thoracic Surgery

Brief Communication

Giant thymic cyst in left lower hemithorax of a healthy teenaged athlete

Cathrine Constantacos, MDa,e,*, Nicholette M. Lawsone, Konstantinos I. Votanopoulos, MDd, Oluyinka Olutoye, MD, PhD, FACS, FAAPb,e, Karen W. Eldin, MDc,e, Ralph D. Feigin, MD, FAAPa,e

a Department of Pediatrics, Baylor College of Medicine, Houston, Tex
b Department of Pediatric Surgery, Baylor College of Medicine, Houston, Tex
c Department of Pathology, Baylor College of Medicine, Houston, Tex
d Department of Surgery, Baylor College of Medicine, Houston, Tex
e Texas Children’s Hospital, Houston, Tex.

Received for publication June 5, 2007; accepted for publication July 19, 2007.

* Address for reprints: Cathrine Constantacos, MD, One Baylor Plaza, Houston, TX 77030. (Email: constant@bcm.tmc.edu).

The first 20% of the full text of this article appears below.


Figure 1
Dr Constantacos


Clinical Summary

A healthy 16-year-old African American girl, who was a competitive track athlete, presented to her primary care clinic with a new, intermittent, sharp, left lateral chest pain with Valsalva maneuvers, aggravated by deep inspiration. There were no associated symptoms such as shortness of breath, coughing, diaphoresis, or abdominal pain.

A chest radiograph was interpreted as showing left pneumothorax, and the patient was sent to the Texas Children’s Hospital Emergency Center for further evaluation and management.

A repeat chest radiogram (Figure 1) revealed a large round mass occupying much of the left middle and lower hemithorax, obscuring the left cardiac border. A computed tomographic scan of the chest (Figure 2) revealed an approximately 20-cm multiloculated, cystic mass seated on the left hemidiaphragm, the wall of which appeared to be continuous with the anterior pleura or pericardial sac. The initial serum studies (sodium, potassium, chloride, bicarbonate, blood urea nitrogen, creatinine, glucose, and uric acid) were within normal limits and the patient was admitted with a . . . [Full Text of this Article]




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[Abstract] [Full Text] [PDF]


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