We describe the rare case of a 71-year-old man with a chest mass that was found to be an intrathoracic gossypiboma left 52 years earlier during an emergency lung bilobectomy. This mass was complicated by extension across the chest wall. There are no reports in the literature of a patient carrying a thoracic gossypiboma for such a long period of time, let alone with extension across the chest wall.
Artículo de publicación ISIIntracranial aneurysm in the pediatric population is very rare;
the prevalence has been reported from 0.5% to 4.6% [1–3].
This pathology is completely different from aneurysms in
adults: gender predominance; location of aneurysm; incidence
of spontaneous thrombosis; incidence of giant,
dissecting, and fusiform aneurysm; and rate of subarachnoid
hemorrhage, among others [4]. Different multidisciplinary
approaches have been used, ranging from conservative
follow-up to the most complex microsurgical and endovascular
treatments. In the microsurgical group, there are
different alternatives, direct clipping and reconstruction or
trapping with bypass from extracranial–intracranial (EC–IC)
or intracranial–intracranial (IC–IC) types. For the middle
cerebral artery aneurysms, the revascularization is an
excellent option, especially for the giant lesions in which
the reconstruction is not an option. Even more, if we analyze
this subject, the overall complication rate of EC–IC
procedures is very low, and the 10-year patency rate is as
high as 73% [5]. Different types of graft used in children
have been reported for EC–IC bypasses with vein graft [5],
with radial artery graft [2], and superficial temporal artery
(STA) [2, 6]. In the pediatric group, the youngest patient
previously reported with an EC–IC bypass with STA–middle
cerebral artery (MCA) for a MCA aneurysm had 11 years
[6]. We present our case report as the youngest patient ever
treated with a combination of trapping with a successful
STA–MCA bypass in a giant MCA aneurysm
Oral communication abstracts Conclusions: On ultrasound GCT is characterized by a large multilocular or solid mass with a large number of locules and increased vascularization; it rarely has papillarities.
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