Journal Information
Vol. 36. Issue 7.
Pages 417-419 (July - August 2000)
Share
Share
Download PDF
More article options
Vol. 36. Issue 7.
Pages 417-419 (July - August 2000)
Full text access
Mediastinitis esclerosante crónica: una causa infrecuente de parálisis diafragmática unilateral
Chronic sclerosing mediastinitis: a rare cause of unilateral diaphragmatic paralysis
Visits
11733
J.A. Carretero Graciaa,*, R. Álvarez Alegretb, J.C. Peñalver Cuestac
a Servicio de Medicina Interna (Neumología). Hospital General de Soria.
b Servicio de Anatomía Patológica. Hospital Miguel Servet. Zaragoza.
c Servicio de Cirugía Torácica. Hospital Miguel Servet. Zaragoza
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics

La mediastinitis esclerosante crónica es una enfermedad de escasa frecuencia y de etiología variada, que suele cursar con síndromes de compresión mediastínica, generalmente por oclusión de la vena cava superior. Presentamos un caso de mediastinitis esclerosante crónica diagnosticado a partir del hallazgo radiológico casual de una parálisis diafragmática unilateral, hecho no referenciado previamente en la bibliografía. Se actualizan sus rasgos clínicos, radiológicos e histológicos.

Palabras clave:
Mediastinitis esclerosante crónica
Parálisis diafragmática unilateral

Chronic sclerosing mediastinitis (CSM) is a rare disease whose etiology varies and which usually develops through mediastinal compression syndromes, generally due to occlusion of the superior vena cava. We report a case of CSM diagnosed after a chance finding of unilateral diaphragm paralysis, a circumstance not previously reported in the literature. We review the clinical, radiological and histological features of CSM.

Key words:
Chronic sclerosing mediastinitis
Unilateral diaphragm paralysis
Full text is only aviable in PDF
Bibliografía
[1.]
G.J. Criner, S.G. Kelsen.
Effects of neuromuscular diseases on ventilation.
3.ª, pp. 1561-1586
[2.]
C.G. Schowengerdt, R. Suyemoto, F.B. Main.
Granulomatous and fibrous mediastinitis: A review and analysis of 180 cases.
J Thorac Cardiovasc Surg, 57 (1969), pp. 365-379
[3.]
D.B. Flieder, S. Suster, C.A. Moran.
Idiopathic fibroinflammatory (fibrosing/sclerosing) lesions of the mediastinum: a study of 30 cases with emphasis on morphologic heterogeneity.
Mod Pathol, 12 (1999), pp. 257-264
[4.]
R.A. Goodwin, J.A. Nickell, R.M. Des Prez.
Mediastinal fibrosis complicating healed primary histoplasmosis and tuberculosis.
Medicine, 51 (1972), pp. 227-246
[5.]
T.V. Lloyd, J.C. Johnson.
Pulmonary artery occlusion following fibrosing mediastinitis due to histoplasmosis.
Clin Nucl Med, 4 (1979), pp. 35-36
[6.]
S. Wieder, J.G. Rabinowitz.
Fibrous mediastinitis: a late manifestation of mediastinal histoplasmosis.
Radiology, 125 (1977), pp. 305-312
[7.]
C.F. Langerström, H.G. Mitchell, B.S. Graham, J.W. Hammon Jr..
Chronic fibrosing mediastinitis and superior vena caval obstruction from blastomycosis.
Ann Thorac Surg, 54 (1992), pp. 764-765
[8.]
H.M. Gilbert, B.J. Hartman.
Short report: a case of fibrosing mediastinitis caused by Wuchereria brancofti.
Am J Trop Med Hyg, 54 (1996), pp. 596-599
[9.]
J.R. Graham.
Fibrotic disorders associated with metysergide therapy for headache.
N Engl J Med, 274 (1966), pp. 359-368
[10.]
S.T. Dechambre, J. Dorzee, J. Fastrez, C. Hanzen, P. Van Houtte, J.P. D’Odémont.
Bronchial stenosis and sclerosing mediastinitis: an uncommon complication of external thoracic radiotherapy.
Eur Respir, 11 (1998), pp. 1188-1190
[11.]
G. Kalweit, H. Huwer, U. Straub, E. Gams.
Mediastinal compression syndromes due to idiopathic fibrosing mediastinitis – report of three cases and review of the literature.
Thorac Cardiovasc Surg, 44 (1996), pp. 105-109
[12.]
D.E. Comings, K.B. Skubi, J.V. Eyer, A.G. Motulsky.
Familial multifocal fibrosclerosis findings suggesting that retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, Riedel's tyroiditis, and pseudotumor of the orbit may be different manifestations of a single disease.
Ann Intern Med, 66 (1967), pp. 884-892
[13.]
C.G. Cameron, S.T. Ing, M. Boyle, et al.
Idiopathic mediastinal and retroperitoneal fibrosis.
Can Med Ass J, 85 (1961), pp. 227-232
[14.]
B.A. Savelli, M. Parshley, M.L. Morganroth.
Successful treatment of sclerosing cervicitis and fibrosing mediastinitis with tamoxifen.
Chest, 111 (1997), pp. 1137-1140
[15.]
A.D. Sherrick, L.R. Brown, G.F. Harms, J.L. Myers.
The radiographic findings of fibrosing mediastinitis.
Chest, 106 (1994), pp. 484-489
[16.]
D.S. Feigin, J.C. Eggleston, S.S. Siegelman.
The multiple roentgen manifestations of sclerosing mediastinitis.
Johns Hopkins Med J, 144 (1979), pp. 1-8
[17.]
E.C. James, S.S. Harris, C.J. Dillenburg.
Tracheal stenosis: an unusual presenting complication of idiopathic fibrosing mediastinitis.
J Thorac Cardiovasc Surg, 80 (1980), pp. 410-413
[18.]
R.R. Dozois, P.E. Bernatz, L.B. Wollner, H.A. Anderson.
Sclerosing mediastinitis involving major bronchi.
Mayo Clin Proc Staff Meet, 43 (1968), pp. 557-569
[19.]
C. Kieser, P. Stark.
Tracheobronquial obstruction: a life-threatening complication of “bening” fibrosing mediastinitis.
Ann Radiol (París), 24 (1981), pp. 623-630
[20.]
R.E. Miller, F.J. Sullivan.
Superior vena caval obstruction secondary to fibrosing mediastinitis.
Ann Thorac Surg, 15 (1973), pp. 973-992
[21.]
G. Baslaim, B. De Varennes.
Localized idiopathic fibrosing mediastinitis as a cause of superior vena cava syndrome: a case report.
Can J Surg, 41 (1998), pp. 68-71
[22.]
S.K. Zorn, E.N. Schachter, G.J. Smith, T. McLoud.
Pulmonary artery obstruction with fibrosing mediastinitis.
Lung, 155 (1978), pp. 91-100
[23.]
E.N. Arnett, J.M. Bacos, A.M. Macher, H.B. Mash, D.D. Savage, J.D. Fulmer, et al.
Fibrosing mediastinitis causing pulmonary arterial hypertension without pulmonary venous hypertension. Clinical necropsy observations.
Am J. Med, 63 (1977), pp. 634-643
[24.]
T.L. Delbanco, J.R. Medina, T.R. Sadler Jr., W.P. Nelson.
Bilateral pulmonary artery obstruction due to fibrosing mediastinitis: case report.
Mil Med, 141 (1976), pp. 335-339
[25.]
D.F. Berry, D. Buccigrossi, J. Peabody, K.L. Peterson, K.M. Moser.
Pulmonary vascular occlusion and fibrosing mediastinitis.
Chest, 89 (1986), pp. 296-301
[26.]
F.B. Mendelson, R.A. Mintzer, D.F. Hidvegi.
Venoocclusive pulmonary infarct: an unusual complication of fibrosing mediastinitis.
Am J Roentgenol, 141 (1983), pp. 175-176
[27.]
A.L. Katzenstein, M.T. Mazur.
Pulmonary infarct: an unusual manifestation of fibrosing mediastinitis.
Chest, 77 (1980), pp. 521-524
[28.]
D.N. Cheris, J.L. Dadey.
Fibrosing mediastinitis An unusual cause for cor pulmonale.
Am J Roentgenol Radium Ther Nucl Med, 100 (1967), pp. 328-331
[29.]
M. Basaranoglu, S. Ozdemir, A.F. Celik, H. Senturk, P. Akin.
A case of fibrosing mediastinitis with obstruction of superior vena cava and downhill esophageal varices: a rare cause of upper gastrointestinal hemorrhage.
J Clin Gastroenterol, 28 (1999), pp. 268-270
[30.]
M. Cohn, L. Giuffra, N. Demos.
Temporary vocal cord paralysis in fibrosing mediastinitis.
J Med Soc N J, 80 (1983), pp. 841-843
[31.]
S.D. Meredith, J. Madison, R.E. Fechner, P.A. Levine.
Cervical manifestations of fibrosing mediastinitis: a diagnostic and therapeutic dilemma.
Head Neck, 15 (1993), pp. 561-565
[32.]
T.M. Mole, J. Glover, M.N. Sheppard.
Sclerosing mediastinitis: a report on 18 cases.
Thorax, 50 (1995), pp. 280-283
[33.]
N. Levashov Yu, P.K. Yablonsky, S.M. Cherny, S.V. Orlov, B.B. Shafirovsky, I.M. Kuznetzov.
One-stage allotransplantation of thoracic segment of the trachea in a patient with idiopathic fibrosing mediastinitis and marked tracheal stenosis.
Eur J Cardiothorac Surg, 7 (1993), pp. 383-386
[34.]
G.A. Dodds 3rd, J.K. Harrison, M.P. O’Laughlin, J.S. Wilson, K.B. Kisslo, T.M. Bashore.
Relief of superior vena cava syndrome due to fibrosing mediastinitis using the Palmaz stent.
Chest, 106 (1994), pp. 315-318
[35.]
S.J. Smith, C.J. Vyborny, J.L. Hines.
Chronic superior vena cava occlusion related to fibrosing mediastinitis treated with self-expanding shunts.
Cardiovasc Intervent Radiol, 20 (1997), pp. 161-162
[36.]
H.C. Urschel, M.A. Razzuk, G.J. Netto, J. Disere, S.Y. Chung.
Sclerosing mediastinitis: Improved management with histoplasmosis titer and ketoconazole.
Ann Thorac Surg, 50 (1990), pp. 215-221
[37.]
J.C. Murray, S.V. Pollack, S.R. Pinnell.
Keloids and hypertrophic scars.
Clin Dermatol, 2 (1984), pp. 121-133
[38.]
E.E. Tredget, B. Nedelec, P.G. Scott, A. Ghahary.
Hypertrophic scars, keloids, and contractures: cellular and molecular basis for therapy.
Surg Clin North Am, 77 (1997), pp. 701-730
Copyright © 2000. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?