ABSTRACT
We present the case of a 31-year-old man who presented with acute chest pain. Computed tomography scan showed a mediastinal mass engulfing right main-stem bronchus and another mass surrounding descending aorta. Positron emission tomography (PET) scan showed high mass metabolic activity. Histopathological evaluation revealed fibroinflammatory scarring. He was diagnosed with idiopathic fibrosing mediastinitis, started on prednisone and tamoxifen treatment, and monitored with serial PET scans. Nine months after treatment initiation, paraaortic abnormality had resolved and mediastinal mass had regressed.
Subject(s)
Mediastinitis/diagnostic imaging , Positron-Emission Tomography , Sclerosis/diagnostic imaging , Adult , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Disease Progression , Humans , Male , Mediastinitis/drug therapy , Mediastinum/diagnostic imaging , Prednisone/therapeutic use , Sclerosis/drug therapy , Selective Estrogen Receptor Modulators/therapeutic use , Tamoxifen/therapeutic useABSTRACT
This case describes the use of flexible bronchoscopy and cryoadhesion in an 83-year-old man who developed large airway clots following treatment with activated factor VII for a complication of pulmonary hemorrhage during coronary artery bypass graft.