Bronchogenic Cyst With Milk of Calcium
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IMAGES IN CARDIOTHORACIC SURGERY Bronchogenic Cyst With Milk of Calcium Pinar Bicakcioglu, MD, Erkmen Gulhan, MD, Gokturk Findik, MD, and Sadi Kaya, MD Department of Thoracic Surgery, Ataturk Education and Research Hospital for Chest Diseases and Thoracic Surgery, Kecioren, Ankara, Turkey A 33-year-old woman presented to our clinic com- plaining of 3 months of left anterior chest tightness and of dyspnea that occurred at rest. Chest roentgeno- grams showed a large, smooth paracardiac cystic lesion with a hyperdense fluid level in the left side (Fig 1A, 1B). The computed tomography scan without contrast revealed a well-defined hypodense lesion in the left paracardiac region, which had a layer of hyperdense opacity at the bottom. This layer of hyperdense opacity was made of milk of calcium (Fig 2, arrow), which is a sediment of calcium material within the cystic struc- ture. A complete cyst excision was performed by left thoracotomy. The bronchogenic cyst was confirmed pathologically, and the patient’s symptoms improved after surgery. The patient was followed up 4 years post- operatively without any problems. Fig 1. Fig 2. Address correspondence to Dr Bicakcioglu, Department of Thoracic Surgery, Ataturk Education and Research Hospital for Chest Diseases and Thoracic Surgery, Kecioren 06280, Ankara, Turkey; e-mail: piyaren@ gmail.com. Ó 2014 by The Society of Thoracic Surgeons Ann Thorac Surg 2014;97:713 0003-4975/$36.00 Published by Elsevier Inc http://dx.doi.org/10.1016/j.athoracsur.2013.05.106 FEATURE ARTICLES
Transcript of Bronchogenic Cyst With Milk of Calcium
IMAGES IN CARDIOTHORACIC SURGERY
Bronchogenic Cyst With Milk of CalciumPinar Bicakcioglu, MD, Erkmen Gulhan, MD, Gokturk Findik, MD, and Sadi Kaya, MDDepartment of Thoracic Surgery, Ataturk Education and Research Hospital for Chest Diseases and Thoracic Surgery, Kecioren,Ankara, Turkey
Fig 1.
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33-year-old woman presented to our clinic com-
FEATUREAR
Aplaining of 3 months of left anterior chest tightnessand of dyspnea that occurred at rest. Chest roentgeno-grams showed a large, smooth paracardiac cystic lesionwith a hyperdense fluid level in the left side (Fig 1A, 1B).The computed tomography scan without contrastrevealed a well-defined hypodense lesion in the leftparacardiac region, which had a layer of hyperdenseopacity at the bottom. This layer of hyperdense opacitywas made of milk of calcium (Fig 2, arrow), which isa sediment of calcium material within the cystic struc-ture. A complete cyst excision was performed by leftthoracotomy. The bronchogenic cyst was confirmedpathologically, and the patient’s symptoms improvedafter surgery. The patient was followed up 4 years post-operatively without any problems.
Fig 2.
Address correspondence to Dr Bicakcioglu, Department of ThoracicSurgery, Ataturk Education and Research Hospital for Chest Diseasesand Thoracic Surgery, Kecioren 06280, Ankara, Turkey; e-mail: [email protected].
� 2014 by The Society of Thoracic Surgeons Ann Thorac Surg 2014;97:713 � 0003-4975/$36.00Published by Elsevier Inc http://dx.doi.org/10.1016/j.athoracsur.2013.05.106
