rss
BMJ Case Reports 2013; doi:10.1136/bcr-2012-007978
  • Reminder of important clinical lesson

An unusual cause of a mediastinal mass

  1. Lutfi Kurban2
  1. 1Respiratory Unit, Aberdeen Royal Infirmary, Aberdeen, UK
  2. 2Deparment of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr J Graham Douglas, graham.douglas{at}nhs.net

Summary

Our case report describes an unusual cause of a mediastinal mass. The patient is a current smoker with a background of neurofibromatosis (NF) type 1 who presented with a right apical mass. Initial investigations suggested a probable malignant cause. The final diagnosis was one of a haematoma from a ruptured thyrocervical aneurysm. The association between neurofibromatosis and vascular aneurysms is an often unrecognised but documented phenomenon. We would like to raise an awareness of this infrequent presentation, as it is associated with a high mortality and may be prevented by early diagnosis.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article