Mediastinal Tuberculous Lymphadenitis Presenting as a Mediastinal Mass with Dysphagia: A Case Report

Füsun Şahin; A Yerlioğlu; P Yıldız

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Mediastinal Tuberculous Lymphadenitis Presenting as a Mediastinal Mass with Dysphagia: A Case Report

Author(s):

Füsun Şahin^1,*,

A Yerlioğlu¹,

P Yıldız²

1Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital, İstanbul, Turkey

2Associate Professor, Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital, İstanbul, Turkey

IJ Radiology:Vol. 8, issue 2; e93935

Published online:Jun 30, 2011

Article type:Case Report

Received:May 18, 2019

Accepted:Jun 30, 2011

How to Cite:Füsun ŞahinA YerlioğluP YıldızMediastinal Tuberculous Lymphadenitis Presenting as a Mediastinal Mass with Dysphagia: A Case Report.I J Radiol.8(2):e93935.

Abstract

Mediastinal tuberculous lymphadenitis is a rare disease in adults. Dysphagia as the accompanying symptom is even a rarer manifestation. Cases with esophageal symptoms may present as esophageal ulceration, mucosal or submucosal mass, fistula or sinus formation, extrinsic compression or displacement of the esophagus. Extrinsic compression may radiologically or endoscopically present as a submucosal tumor. Our case is a 30-year-old woman with dysphagia for a month. Extrinsic compression was seen endoscopically on the mid-esophagus. On thoracic CT and MRI images, a multiloculated cystic/necrotic mass 5.5×4.8×3.1 cm in size consisting of multiple septa was located subcarinally in the middle mediastinum. In Wang needle aspiration, a mucopurulaent liquid was aspirated from the subcarinal localization by bronchoscopy. Diagnostic thoracotomy was carried out because histological and bacteriological examinations were not diagnostic. It was reported as tuberculous lymphadenitis pathologically. The control thoracic CT performed after antituberculous treatment showed complete regression of the mass. We herein report a rare form of tuberculous lymphadenitis.

Keywords

Mediastinal Lymph Nodes

Thoracotomy

Tuberculosis

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