ISSN 1941-5923



American Journal of Case Reports have been selected for the ESCI - Emerging Sources Citation Index (Thomson Reuters, Web of Science, ISI), launching in November of 2015 as a new edition of the Web of Science.

Clinical... read more

Published: 2016-10-28

A 36-Year-Old Female with Recurrent Left Sided Pleural Effusion: A Rare Case of Mediastinal Lymphangioma

Rajesh N. Swarnakar, Jetendra D. Hazarey, Chetan Dhoble, Bhavesh Vaghani, Alaine S. Ainsley, James F. Khargie, Lorena Likaj

(Department of Pulmonology, Getwell Hospital and Research Institute, Nagpur, India)

Am J Case Rep 2016; 17:799-804

DOI: 10.12659/AJCR.895258

BACKGROUND: Lymphangioma is an atypical non-malignant, lymphatic lesion that is congenital in origin. Lymphangioma is most frequently observed in the head and neck, but can occur at any location in the body. About 65% of lymphangiomas are apparent at birth, while 80–90% are diagnosed by two years of age. Occurrence in adults is rare, as evidenced by less than 100 cases of adult lymphangiomas reported in the literature.
CASE REPORT: A 36-year-old Indian woman with a medical history of recurrent pleural effusions presented with chief complaints of dyspnea on exertion for one year and a low-grade fever for one month. A thorax CT revealed left-sided pleural effusion with thin internal septations. Thoracoscopy revealed a large cystic lesion arising from the mediastinum from the hilum surrounding the mediastinal great vessels. The diagnosis of lymphangioma was confirmed via histopathologic examination of the cyst. It was managed with partial cystectomy along with the use of a sclerosing agent (talc).
CONCLUSIONS: The size and location of lymphangiomas can vary, with some patients presenting with serious problems like respiratory distress, while others may be asymptomatic. Complete cyst resection is the gold standard treatment for mediastinal cystic lymphangioma. Partial cyst resection along with the use of sclerosing agents can be an effective option when complete cystectomy is not possible. Although lymphangioma is a rare patient condition, it should be included in the differentials for patients presenting with pleural effusions. Also, a biopsy should be done at the earliest opportunity to differentiate lymphangioma from other mediastinal malignant tumor... read more

Keywords: Cystectomy, Lymphangioma, Cystic, Pleural Effusion, Talc, Thoracoscopy

Published: 2016-10-27

Bilineal Extramedullary Blast Crisis as an Initial Presentation of Chronic Myeloid Leukemia: A Case Repor...

Xiaoning Gao, Jie Li, Lili Wang, Ji Lin, Hongshi Jin, Yihan Xu, Nan Wang, Yu Zhao, Daihong Liu, Li Yu, Quanshun Wang

Am J Case Rep 2016; 17:793-798

DOI: 10.12659/AJCR.899621

Published: 2016-10-26

A Case of Birt-Hogg-Dubé (BHD) Syndrome Harboring a Novel Folliculin (FLCN) Gene Mutation

Takuro Yukawa, Takuya Fukazawa, Masakazu Yoshida, Ichiro Morita, Katsuya Kato, Yasumasa Monobe, Mitsuko Furuya, Yoshio Naomoto

Am J Case Rep 2016; 17:788-792

DOI: 10.12659/AJCR.899407