Haemorrhagic Thymic Cyst Masquerading a Thick Walled Neoplasm: A Case Report and Review of Literature

  • Ruma Madhu Sreedharan Government Medical College, Thiruvananthapuram, Kerala, India 
  • PB Dhanush Government Medical College Hospital , Thiruvananthapuram, Kerala, India 
  • JS Ajitha Government Medical College Hospital , Thiruvananthapuram, Kerala, India 
  • LR Jayasree Government Medical College Hospital , Thiruvananthapuram, Kerala, India
Keywords: Haemorrhagic thymic cyst, Cardiac MRI, Cardiac CT

Abstract

Thymic cysts are rare anterior mediastinal cysts that are incidentally detected during routine imaging in patients or during the workup for chest pain with dyspnea. Here, we describe a rare case of a hemorrhagic thymic cyst in a 30-year-old man who presented with recurrent chest pain. Upon further evaluation using echocardiography, CT, and MRI, a well-defined, thick-walled, multiloculated cystic lesion in the anterior mediastinum was identified. The patient underwent surgery and was diagnosed with a hemorrhagic thymic cyst. Postoperatively, he was stable and discharged on the fifth day without complications. This report highlights the role of multimodality imaging in the diagnosis of thymic cysts.

Author Biographies

Ruma Madhu Sreedharan, Government Medical College, Thiruvananthapuram, Kerala, India 

Associate Professor, Radiodiagnosis

PB Dhanush, Government Medical College Hospital , Thiruvananthapuram, Kerala, India 

MD, Department of Radiodiagnosis and Interventional Radiology

JS Ajitha, Government Medical College Hospital , Thiruvananthapuram, Kerala, India 

MD, Department of Radiodiagnosis and Interventional Radiology

LR Jayasree, Government Medical College Hospital , Thiruvananthapuram, Kerala, India

DMRD,DNB, Department of Radiodiagnosis and Interventional Radiology


Published
2024-12-30
How to Cite
Sreedharan, R., Dhanush, P., Ajitha, J., & Jayasree, L. (2024). Haemorrhagic Thymic Cyst Masquerading a Thick Walled Neoplasm: A Case Report and Review of Literature. Kerala Medical Journal, 17(4), 223-227. https://doi.org/10.52314/kmj.2024.v17i4.684
Section
Case Series / Case Report