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A Fat Density Mass in the Mediastinum  

Heo, Su Beom (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Roh, Eun Suk (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Kim, Dae Sung (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Kim, Eui Hiung (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Kang, Ji Ho (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Lee, Sang Haak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Song, Jeong Sup (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Park, Sung Hak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
Park, Chan Beom (Department of Thoracic and Cardiovascular surgery, The Catholic University of Korea, College of Medicine)
Lee, Bae Young (Department of Radiology, The Catholic University of Korea, College of Medicine)
Kim, Hyeon Sook (Department of Radiology, The Catholic University of Korea, College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.58, no.2, 2005 , pp. 188-192 More about this Journal
Abstract
A 47-year-old female was admitted for an evaluation of a left mediastinal mass. The chest X-ray performed 16 months ago was normal, but the chest X-ray upon admission showed a large mass adjacent to the anterior aspect of the left hemidiaphragm. The CT scan demonstrated a large mass with a fat density in the left lower hemithorax. A focal diaphragmatic defect behind the xiphoid process was suspected. A thoracoscopic examination revealed omental herniation through the diaphragmatic defect. Therefore, a left thoracotomy was performed and the defect was repaired. We believe that a differential diagnosis should be needed to include a diaphragmatic omental hernia when a fat density mass is observed in the mediastinum.
Keywords
Diaphragmatic omental hernia; Mediastinal tumor; Fat;
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