RESUMO
We report a case of thoracic epidural extension of an infected extra-pleural and chest wall haematoma with evidence of spinal cord compression and signs of cauda equina. Emergency spinal cord decompression with laminectomy followed by thoracotomy was performed.
Assuntos
Abscesso Epidural , Hematoma , Compressão da Medula Espinal , Parede Torácica , Adulto , Descompressão Cirúrgica , Abscesso Epidural/complicações , Abscesso Epidural/diagnóstico por imagem , Abscesso Epidural/cirurgia , Hematoma/complicações , Hematoma/diagnóstico por imagem , Hematoma/cirurgia , Humanos , Laminectomia , Masculino , Radiografia , Compressão da Medula Espinal/complicações , Compressão da Medula Espinal/diagnóstico por imagem , Compressão da Medula Espinal/cirurgia , Parede Torácica/diagnóstico por imagem , Parede Torácica/cirurgia , ToracotomiaRESUMO
Cystic lesions of the diaphragm are rare and accordingly present a diagnostic challenge. Specific radiological features with which to clinch a diagnosis may be elusive. Herein we present the case of a patient who presented with symptoms attributable to a cyst in the left upper abdomen, irritating the diaphragm. Surgery was considered appropriate for diagnostic and symptomatic purposes. Final histology demonstrated an epidermoid cyst. Resolution of symptoms was reported after surgery. Diaphragmatic epidermoid cysts appear to be a rare entity with only three prior cases reported in the literature. Given the rarity of this lesion and the lack of unique features by which they can be characterized, accurately diagnosing epidermoid cysts of the diaphragm is likely to remain difficult without surgery, although they are presumed to have a benign behaviour.
RESUMO
Nil.