Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children’s Hospital, USAFulltext PDF
Anterior Mediastinal Masses (AMM) can range in presentation from an asymptomatic incidental finding to significant cardiorespiratory compromise. Symptoms do not always correlate to the degree of compression. Patients with AMM are at high risk for hemodynamic instability and cardiovascular arrest with induction of anesthesia. This report describes a child with a large AMM, who presented without classic symptoms, but instead with a right orbital cutaneous lesion, requiring anesthesia intervention for diagnostic imaging of the eye. It is imperative, especially in these unexpected presentations, to have a high-index of suspicion.
Aina T. Large Anterior Mediastinal Mass in a Pediatric Patient with an Unusual Presentation. Ann Clin Case Rep. 2017; 2: 1359.