Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Article History

Received : 27-05-2021

Accepted : 29-07-2021

Available online : 12-11-2021



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Peri-operative anaesthesia challenges in large anterior mediastinal mass - A case report


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Case Report

Author Details : Rachna Wadhwa*, Varun Sharma, Pallavi Ahluwalia, Vishnu Datt

Volume : 8, Issue : 4, Year : 2021

Article Page : 604-607

https://doi.org/10.18231/j.ijca.2021.128



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Abstract

Thymic mass is a rare tumor in the anterior mediastinum. They are usually of unknown etiology. About 50% of patients are diagnosed incidentally on chest radiographs. A  45 years, BMI-28, male patient presented to cardiac outpatient department with breathlessness and persistent cough for past three months. He also complained of generalized fatigue and nonspecific chest pain. On chest x-ray (PA view), there were diffuse opacities in middle and lower zone and no tracheal compression or deviation. Lateral neck X-ray also ruled out any airway compression. Computed tomography thorax revealed a huge mass occupying the prevascular compartment of mediastinum and insinuating the visceral compartment bilaterally with extension upto bilateral cardiophrenic and anterior costophrenic angles. CT-guided biopsy was consistent with thymolipoma which was surgically resected. Thymolipomas usually present with nonspecific symptoms. They pose a huge anaesthetic challenge during the peri-operative period in terms of difficult intubation, co-existing airway compression requiring reinforced tubes and fiberoptic guidance, the possibility of sudden airway collapse post-induction, risk of hypoxemia secondary to reduced functional residual capacity (FRC) and haemodynamic disturbances during and after removal of huge mass.
 

Keywords: Anterior mediastinal mass, Mediastinal widening, Tumor of the thymus.



How to cite : Wadhwa R, Sharma V, Ahluwalia P, Datt V, Peri-operative anaesthesia challenges in large anterior mediastinal mass - A case report. Indian J Clin Anaesth 2021;8(4):604-607


Copyright © 2021 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (creativecommons.org)







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