title: Intrapericardial teratoma presenting as recurrent pericardial tamponade: report of a case.
abstract: Intrapericardial teratomas are rare after infancy. An accurate diagnosis can only be made with a high index of suspicion. Most of the time, a mediastinal teratoma ruptures/perforates the pericardial cavity, thus causing either pericardial effusion or life-threatening tamponade. These factors emphasize the importance of an early surgical excision even for extrapericardial locations. This report presents the case of a 16-year-old girl with intrapericardial teratoma who presented with cardiac tamponade which is a rare complication of this rare tumor with only eight cases reported so far beyond infancy. This patient presented with recurrent tamponade, and underwent multiple procedures of pericardiocentesis and developed pyopericardium and polyserositis. This intrapericardial teratoma was not detected by imaging modalities.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Military Hospital (Cardiothoracic Centre), Golibar Maidan, Pune, India.
authors.forename: Jaswinder
authors.initials: J
authors.lastname: Singh
authors.forename: Sandeep Singh
authors.initials: SS
authors.lastname: Rana
authors.forename: Amulyajit
authors.initials: A
authors.lastname: Kaur
authors.forename: Vishal
authors.initials: V
authors.lastname: Srivastava
authors.forename: Harkant
authors.initials: H
authors.lastname: Singh
authors.forename: Rajeshwar
authors.initials: R
authors.lastname: Sharma
mesh_terms: D000293:Adolescent; D002305:Cardiac Tamponade / Q000209:etiology*; D006332:Cardiomegaly / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D010490:Pericardial Effusion / Q000601:surgery; D020519:Pericardiocentesis; D010496:Pericardium / Q000473:pathology; D011549:Pseudomonas / Q000302:isolation & purification; D012008:Recurrence; D013724:Teratoma / Q000150:complications / Q000175:diagnosis*; D013908:Thoracotomy