An atypical case of severe obesity, right hemi-diaphragmatic elevation and mediastinal liposarcoma

Atolagbe Ayodele; Apakama Chukwuemeka; Safavi Ali

doi:10.18203/2349-2902.isj20151101

Authors

Atolagbe Ayodele Department of Surgery, Harlem Hospital, New York
Apakama Chukwuemeka Washington University, Surgical Critical Care, Missouri
Safavi Ali Department of Surgery, Harlem Hospital, New York

DOI:

https://doi.org/10.18203/2349-2902.isj20151101

Keywords:

Mediastinal, Liposarcoma, Gastric bypass, Obesity, Sternotomy

Abstract

A giant anterior mediastinal malignancy coexisting with super-super obesity is a conundrum which presents a surgical management dilemma. We present a 29 year old female with a body metabolic Index (BMI) of 63.1 and an incidental chest x- ray finding of elevated right hemi-diaphragm during routine clinic visit. Imaging revealed a giant anterior mediastinal mass and radiography-guided biopsy showed a liposarcoma. She underwent a laparoscopic gastric bypass with significant weight loss following which she underwent a complete resection of the mass at a Body mass Index of 49.2. She is recurrence free one year post resection.

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