Dispnéia por compressão de estruturas mediastinais por cisto pericárdico

Caramori, Jeanine Eggers; Miozzo, Luciane; Formigheri, Maurice; Barcellos, Cristiano Roberto Grimaldi; Grando, Muriel; Trentin, Tiago

doi:10.1590/s0066-782x2005000600010

“…The incidence of pericardial cysts is 1:100 000 and they represent 6---7% of total mediastinal masses. 2 They must be differentiated from cardiac chamber enlargement, diaphragmatic hernia, malignant tumors and bronchogenic cysts.…”

Section: Discussionmentioning

confidence: 99%

Giant pericardial cyst mimicking dextrocardia on chest X-ray

Hamad

¹

,

Galrinho

²

,

Abreu

³

et al. 2013

Revista Portuguesa de Cardiologia

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Pericardial cysts are rare benign congenital malformations, usually small, asymptomatic and detected incidentally on chest X-ray as a mass located in the right costophrenic angle. Giant pericardial cysts are very uncommon and produce symptoms by compressing adjacent structures. In this report, the authors present a case of a symptomatic giant pericardial cyst incorrectly diagnosed as dextrocardia on chest X-ray. © 2012 Sociedade Portuguesa de Cardiologia Published by Elsevier España, S.L. All rights reserved. PALAVRAS-CHAVE Quisto pericárdico; Telerradiografia de tórax Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tóraxResumo Os quistos pericárdicos são malformações congênitas benignas raras. Habitualmente. são de pequena dimensão, assintomáticos e detectados de forma acidental na telerradiografia de tórax, como uma massa localizada no ângulo costofrênico direito. Grandes quistos pericárdi-cos são ainda mais raros e produzem sintomas por compressão de estruturas adjacentes. Neste artigo, os autores apresentam um caso clínico de um quisto pericárdico gigante e sintomático previamente diagnosticado como uma dextrocardia em telerradiografia de tórax. © 2012 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L. Todos os direitos reservados. Case reportA 30-year-old man reported dysphagia and weight loss (15 kg) during the previous four months. Palpitations and * Corresponding author.E-mail address: hamadmahmoud77@hotmail.com (H.M. Hamad).chest pain unrelated to physical or emotional stress began two months later. A routine annual visit to the occupational medicine clinic revealed normal physical examination and laboratory tests. The chest X-ray ( Figure 1A) suggested a diagnosis of dextrocardia that was not observed on previous annual chest X-rays, and the ECG ( Figure 1B) was normal. Outpatient echocardiography was also normal. The patient was referred to the cardiology department for further investigation.

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“…Other cysts should be differentiated, such as interstitial bronchogenic cyst and lymphangiomas, besides other diseases, such as diaphragmatic hernia, and aneurysms of the heart or great vessels aneurysms [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…The most common finding on roentgenograms is a round homogeneous radiodense lesion at the cardiophrenic angle, two thirds being found on the right [3]. These finds are enough to the diagnostic but confirmation may be obtained by twodimensional echocardiography, computed tomography, or nuclear magnetic resonance (NMR) [1][2][3]. The aim of the present case report is to describe a case of a successful surgical excision of a giant pericardial cyst.…”

Section: Introductionmentioning

confidence: 94%

“…The estimated incidence of pericardial cyst is 1:100,000 and it is responsible for 6% to 7% of mediastinal masses reported in the literature [2]. They are typically unilocular, are lined by endothelium or mesothelium, contain clear serous fluid.…”

Section: Introductionmentioning

confidence: 99%

“…The occurrence of pericardial cysts in children is rare. Chest pain, Dyspnea, or paroxysmal tachypnea, are symptoms found in 25% to 30% of the patients [1,2]. The most common finding on roentgenograms is a round homogeneous radiodense lesion at the cardiophrenic angle, two thirds being found on the right [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cisto pericárdico gigante: relato de caso

Nina¹,

Manzano²,

Mendes³

et al. 2007

Rev Bras Cir Cardiovasc

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Pericardial cysts are uncommon congenital abnormalities. Most are asymptomatic and are found incidentally on chest roentgenograms. Giant cysts are an even more uncommon finding, and reports of their natural history, presentation and management are few. In this report the authors describe a case of a giant pericardial cyst with symptoms of mediastinal compression for which the surgical excision guaranteed a 12-month follow-up of complete remission of the symptomatology.Descriptors: Pericardium, pathology. Mediastinal cyst, surgery. Constriction, pathologic, complications. ResumoOs cistos pericárdicos são anomalias congênitas incomuns, sendo a maioria assintomática e diagnosticadas incidentalmente na radiografia de tórax. Os cistos gigantes são raros, havendo poucos relatos concernentes à sua história natural, apresentação clínica e tratamento. No presente relato, os autores descrevem um caso de cisto pericárdico gigante, com sintomatologia compressiva importante, cuja excisão cirúrgica garantiu completa remissão sintomatológica no seguimento de 12 meses.

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Giant pericardial cyst mimicking dextrocardia on chest X-ray

Hamad

¹

,

Galrinho

²

,

Abreu

³

et al. 2013

Revista Portuguesa de Cardiologia (English Edition)

0

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Pericardial cysts are rare benign congenital malformations, usually small, asymptomatic and detected incidentally on chest X-ray as a mass located in the right costophrenic angle. Giant pericardial cysts are very uncommon and produce symptoms by compressing adjacent structures. In this report, the authors present a case of a symptomatic giant pericardial cyst incorrectly diagnosed as dextrocardia on chest X-ray. © 2012 Sociedade Portuguesa de Cardiologia Published by Elsevier España, S.L. All rights reserved. PALAVRAS-CHAVE Quisto pericárdico; Telerradiografia de tórax Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tóraxResumo Os quistos pericárdicos são malformações congênitas benignas raras. Habitualmente. são de pequena dimensão, assintomáticos e detectados de forma acidental na telerradiografia de tórax, como uma massa localizada no ângulo costofrênico direito. Grandes quistos pericárdi-cos são ainda mais raros e produzem sintomas por compressão de estruturas adjacentes. Neste artigo, os autores apresentam um caso clínico de um quisto pericárdico gigante e sintomático previamente diagnosticado como uma dextrocardia em telerradiografia de tórax. © 2012 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L. Todos os direitos reservados. Case reportA 30-year-old man reported dysphagia and weight loss (15 kg) during the previous four months. Palpitations and * Corresponding author.E-mail address: hamadmahmoud77@hotmail.com (H.M. Hamad).chest pain unrelated to physical or emotional stress began two months later. A routine annual visit to the occupational medicine clinic revealed normal physical examination and laboratory tests. The chest X-ray ( Figure 1A) suggested a diagnosis of dextrocardia that was not observed on previous annual chest X-rays, and the ECG ( Figure 1B) was normal. Outpatient echocardiography was also normal. The patient was referred to the cardiology department for further investigation.

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Dispnéia por compressão de estruturas mediastinais por cisto pericárdico

Cited by 7 publications

References 3 publications

Giant pericardial cyst mimicking dextrocardia on chest X-ray

Giant pericardial cyst mimicking dextrocardia on chest X-ray

Cisto pericárdico gigante: relato de caso

Giant pericardial cyst mimicking dextrocardia on chest X-ray

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