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Canadian Respiratory Journal
Volume 7, Issue 2, Pages 191-192
http://dx.doi.org/10.1155/2000/369023
Clinical Vignette

An Infected Mediastinal Cyst

Lindsay M Lawson1 and Andrew C Mason2

1Division of Respiratory Medicine, Department of Medicine, St Paul’s Hospital and The University of British Columbia, Vancouver, British Columbia, Canada
2Department of Radiology, St Paul’s Hospital and The University of British Columbia, Vancouver, British Columbia, Canada

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The authors describe a 43-year-old patient who had a mediastinal mass that became infected after a transbronchial needle aspirate biopsy. A paraspinal, extrapleural window with a saline-lidocaine mixture was created that allowed the placement of a percutaneous drainage catheter into the infected lesion. This procedure resulted in an excellent clinical outcome, and obviated the need for a thoracotomy and more invasive surgical management.