Interesting image- Post BT shunt seroma- a rare complication

Indian Heart J. 2014 Mar-Apr;66(2):227-30.

Post Blalock-Taussig shunt mediastinal mass – a single shadow with two different destinies

Rohit MK1, Vadivelu R2, Khandelwal N3, Krishna S3.

One of the rare complications following BT shunt surgery is seroma formation. It usually is benign and  x ray chest will reveal a mediatinal mass (left upper). CT scan usually confirms the diagnosis. Usually managed conservatively.

Image description:

Axial contrast chest CT obtained in a helical mode. The sagittal oblique maximal intensity projection image shows a small hypodense lesion of fluid attenuation seen adjacent to the BT shunt. No calcification, enhancement, septae, air foci or solid component was seen. Features are consistent with a post operative seroma. Thin long arrow points BT shunt. Broader, short arrow points seroma