Resection of a Large Hemorrhagic Mediastinal Lymphangioma in an Adult Patient: A Radiologic-Pathologic Correlation

Olivia Li; Yasmine T Sallam; Keith F Kwan; Mehdi Qiabi; Narinder S Paul; Mohamed A Abdelrazek

doi:10.1148/ryct.210043

Resection of a Large Hemorrhagic Mediastinal Lymphangioma in an Adult Patient: A Radiologic-Pathologic Correlation

Radiol Cardiothorac Imaging. 2022 Feb 17;4(1):e210043. doi: 10.1148/ryct.210043. eCollection 2022 Feb.

Authors

Olivia Li^#¹, Yasmine T Sallam^#¹, Keith F Kwan¹, Mehdi Qiabi¹, Narinder S Paul¹, Mohamed A Abdelrazek¹

Affiliation

¹ Departments of Medical Imaging (O.L., Y.T.S., N.S.P., M.A.A.), Pathology and Laboratory Medicine (K.F.K.), and Thoracic Surgery (M.Q.), Schulich School of Medicine and Dentistry, Western University, 339 Windermere Rd, London, ON, Canada N6A 5A5; and Department of Medical Imaging, Northern Ontario School of Medicine, Sudbury, Ontario, Canada (Y.T.S.).

^# Contributed equally.

Abstract

Lymphangiomas are rare benign lesions resulting from abnormal proliferation and sequestration of lymphatic tissues that are disconnected from the rest of the lymphatic system. This is a case of a 50-year-old woman with an unusually large mediastinal lymphangioma complicated by hemorrhage. The substantial mass effect and unstable clinical status necessitated urgent operative management. The use of preoperative multimodality radiologic assessment, including CT and MRI, is illustrated throughout this case. Keywords: CT, MR Imaging, Thorax, Lung © RSNA, 2022.

Keywords: CT; Lung; MR Imaging; Thorax.

2022 by the Radiological Society of North America, Inc.

Publication types

Case Reports