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
FEATURE ARTICLES
Fig 1.
A
33-year-old woman presented to our clinic complaining of 3 months of left anterior chest tightness and of dyspnea that occurred at rest. Chest roentgenograms 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 structure. 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 postoperatively without any problems. 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 Published by Elsevier Inc
Ann Thorac Surg 2014;97:713 0003-4975/$36.00 http://dx.doi.org/10.1016/j.athoracsur.2013.05.106
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
FEATURE ARTICLES
Fig 1.
A
33-year-old woman presented to our clinic complaining of 3 months of left anterior chest tightness and of dyspnea that occurred at rest. Chest roentgenograms 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 structure. 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 postoperatively without any problems. 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 Published by Elsevier Inc
Ann Thorac Surg 2014;97:713 0003-4975/$36.00 http://dx.doi.org/10.1016/j.athoracsur.2013.05.106
