[Pericardial effusion and mediastinal "tumor": case report of an unusual association].
A young man aged 26 was admitted as an emergency to the thoracic surgical unit for a pericardial tamponade associated with a tumour in the left anterosuperior mediastinum. After pericardial drainage by the sub-xiphoid route a left anterior mediastinotomy showed that the tumour had disappeared and a flabby diverticulum of the pericardium was found which was resected. Pericardial diverticulae are coelomic cysts which are usually considered to be congenital in origin similar to the pleuro-pericardiac cysts to which they are attached. The clinical history, which had a particularly dramatic and alarming onset is in favour of an acquired disease which is equally possible in this type of lesion.
Riquet
M
M
Unité de Chirurgie Thoracique, Hôpital Laennec, Paris.
Le Pimpec Barthes
F
F
Badhia
A
A
Paris
E
E
Souilamas
R
R
Debrosse
D
D
D000328:Adult; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis*; D010490:Pericardial Effusion / Q000209:etiology*; D010491:Pericardial Window Techniques; D010496:Pericardium; D014057:Tomography, X-Ray Computed