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 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.
McMillan
Alexandra
A
Department of Medicine, The Ottawa Health Research Institute, University of Ottawa at The Ottawa Hospital, Ottawa, Ontario, Canada.
Souza
Carolina A
CA
Veinot
John P
JP
Turek
Michel
M
Hendry
Paul
P
Alvarez
Gonzalo G
GG
D000328:Adult; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000150:complications* / Q000473:pathology / Q000601:surgery; D010493:Pericarditis / Q000150:complications* / Q000175:diagnosis; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed