A Case of Mediastinal Lymphangiomatosis Requiring Long-term Respiratory Management after Biopsy Surgery for Definitive Diagnosis

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  • KAWANO Yumi
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • SHIROZU Kazuhiro
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • SOZAKI Ryota
    Department of Pediatric Surgery, Kyushu University Graduate School of Medicine
  • KARASHIMA Yuji
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine
  • TAGUCHI Tomoaki
    Department of Pediatric Surgery, Kyushu University Graduate School of Medicine
  • HOKA Sumio
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine

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  • 確定診断のための生検術後に長期間呼吸管理を要した縦隔リンパ管腫症の1例

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Abstract

<p>We herein present a case involving a 21-year-old woman who underwent thoracoscopic biopsy to confirm a diagnosis of lymphangioma. Large volumes of pleural effusion were drained multiple times before surgery to avoid the development of re-expansion pulmonary edema. Although the patient’s respiratory status was stable during and immediately after surgery, retained pulmonary effusion and pulmonary edema were detected 2 days postoperatively. The patient required long-term respiratory management because of difficulty maintaining her oxygenation. For patients with mediastinal lymphoma, we should provide against pulmonary effusion and perform respiratory and circulatory management in the perioperative period because lymphangioma with pulmonary effusion is a high-risk factor for severe respiratory impairment after surgery.</p>

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