[Benign mediastinal teratoma with pericardial symptoms. The utility of echocardiography in diagnosis].
The authors describe the clinical case of a 21-year-old girl who was admitted to the hospital because of pericardial symptomatology. On admission, a transthoracic echocardiogram revealed moderate pericardial effusion and an anterior parenchimallike mediastinal mass, that extended as far as the main vessels and the anterior wall of the right ventricle. This report was subsequently confirmed by a computed tomography chest scan. Due to the rupture into the pericardial cavity, which was followed by considerable pericardial effusion, she was immediately taken to the operating room for pericardiocentesis and the decision was then made in order to excise the mass. The hystological diagnosis revealed "benign cystic mature teratoma of the mediastinum". The authors' literature data is included, and the article also emphasizes the importance of using echocardiograms in casualties in order to obtain a differential diagnosis of chest pain.
Massari
F M
FM
Divisione di Cardiologia, Ospedale Maggiore IRCCS, Milano.
La Marchesina
U
U
Buffa
P
P
Arpesani
A
A
Foresti
A
A
D000328:Adult; D002637:Chest Pain / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D010490:Pericardial Effusion / Q000209:etiology*; D013724:Teratoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Teratoma benigno del mediastino a sintomatologia pericardica. Utilità diagnostica dell'ecocardiografia.