A case of atypical pericarditis

An acute viral pericarditis may reveal a congenital pericardial abnormality. We report the case of a young man of 29 years in whom the development of rapidly progressive dyspnoea and fever led to the echocardiographic diagnosis of a pericardial tumour. The thoracic CT scan showed a mass arising in t...

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Bibliographic Details
Published inRevue des maladies respiratoires Vol. 24; no. 9; p. 1147
Main Authors Le Floch, H, Niang, A, Rivière, F, Bonnichon-Py, A, Mairovitz, A, Staub, E, Saint-Blancard, P, Margery, J, Marotel, C, Vaylet, F
Format Journal Article
LanguageFrench
Published France 01.11.2007
Subjects
Adult
Bronchogenic Cyst - diagnosis
Dyspnea - etiology
Fever - etiology
Humans
Male
Pericarditis - etiology
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Summary:An acute viral pericarditis may reveal a congenital pericardial abnormality. We report the case of a young man of 29 years in whom the development of rapidly progressive dyspnoea and fever led to the echocardiographic diagnosis of a pericardial tumour. The thoracic CT scan showed a mass arising in the superior mediastinum with no evidence of spread. Surgical exploration allowed the excision of a soft mutilobular mass adherent only to the aorta. Histological examination revealed an intrapericardial bronchogenic cyst. After a review of bronchogenic cysts we point out the properties of this rare intra-pericardial localisation, one of which is the frequently observed secretion of CA 19-9.
ISSN:0761-8425
DOI:10.1016/S0761-8425(07)74267-5