A Large Pericardial Cyst Complicated by a Pericarditis in a Young Man With a Mediastinal Mass

This is a case report of a 30-year-old man who presented with acute right-sided pleuritic chest pain. A chest roentgenogram performed in the emergency room shows a large, well-circumscribed transparent lesion obscuring the right heart border. Further imaging revealed a large pericardial cyst. The pa...

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Published inThe Annals of thoracic surgery Vol. 88; no. 2; pp. e11 - e13
Main Authors McMillan, Alexandra, MD, Souza, Carolina A., MD, PhD, Veinot, John P., MD, Turek, Michel, MD, Hendry, Paul, MD, Alvarez, Gonzalo G., MD, MPH
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.08.2009
Subjects
Adult
Cardiothoracic Surgery
Dyspnea - etiology
Humans
Male
Mediastinal Cyst - complications
Mediastinal Cyst - pathology
Mediastinal Cyst - surgery
Pericarditis - complications
Pericarditis - diagnosis
Pleural Effusion - diagnostic imaging
Pleural Effusion - etiology
Surgery
Tomography, X-Ray Computed
32
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Summary:This is a case report of a 30-year-old man who presented with acute right-sided pleuritic chest pain. A chest roentgenogram performed in the emergency room shows a large, well-circumscribed transparent lesion obscuring the right heart border. Further imaging revealed a large pericardial cyst. The patient was taken to surgery as a result of clinical deterioration, and the knowledge that large pericardial cysts, although usually benign, can cause serious complications, including death. Pathology revealed an inflamed pericardial cyst with fibrinous pericarditis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2009.05.024