Abstract
We report the case of a mediastinal lymphangioma that was resected by video-assisted thoracic surgery (VATS). A 14-year-old boy presenting with chest pain and high fever was admitted to our hospital. He showed high inflammatory reactions and his CT and MR images revealed a multiple cystic lesion with wall thickening in the anterior mediastinum at the left heart-diaphragm angle. We diagnosed the patient as having infection of the cystic lesion, and antibiotic therapy was initiated immediately. His fever and inflammatory reactions decreased, but his chest pain was not relieved completely. We decided to perform VATS to remove his chest pain. The postoperative course was uneventful and the resected cystic lesion was pathologically diagnosed as mediastinal lymphangioma. It is difficult to confirm the diagnosis on the basis of radiographic findings. A surgical operation could provide an accurate diagnosis and an effective treatment of symptomatic patients. VATS might be a cosmetically acceptable and suitable procedure for patients with benign lesions.
