Video-Assisted Thoracoscopic Treatment of Coelomic Cysts

Pleural effusion revealing a ruptured mediastinal mesothelial cyst

“…No consensus on the coelomic cyst treatment exists. Owing to its benign behaviour, some authors recommend simple surveillance unless the diagnosis is uncertain or there are complications [1]. Mini-invasive procedures like video-assisted thoracoscopic surgery (VATS) currently represent the best approach [1].…”

“…Owing to its benign behaviour, some authors recommend simple surveillance unless the diagnosis is uncertain or there are complications [1]. Mini-invasive procedures like video-assisted thoracoscopic surgery (VATS) currently represent the best approach [1]. However, the excision of the cyst does not prevent from a possible recurrence [3].…”

“…The cyst is surrounded by a single layer of mesothelial cells wall and contain clear fluid [3]. Mediastinal cysts are often asymptomatic [1]. Symptoms such as cough, dyspnoea, or chest pain can be seen by compression of adjacent cardiovascular or respiratory structures [1].…”

“…Mediastinal cysts are often asymptomatic [1]. Symptoms such as cough, dyspnoea, or chest pain can be seen by compression of adjacent cardiovascular or respiratory structures [1].…”

“…Mesothelial or coelomic cysts are uncommon unilocular benign cysts of the mediastinum [1,2]. Rarely, they are discovered after complications or unusual presentations [2][3][4].…”