Pleuropericardial cyst torsion: case report

Kang, Davi Wen Wei; Corpa, Maria Carolina Ercoli; Racy, Marcelo de Castro Jorge; Baroni, Ronaldo Hueb; Engel, Fabiano Cataldi; Filho, Laert de Oliveira Andrade; Bueno, Marco Aurélio Scarpinella

doi:10.1590/s1679-45082010rc937

Cited by 1 publication

(3 citation statements)

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“…As far as gender is concerned, the female: male ratio varies among many studies and it has been described to be 1:1 22 , 8:4 26 and 2:3 8 . Finally, PPCs can be associated with other diseases such as Fanconi anaemia 27,28 .…”

Section: Discussionmentioning

confidence: 99%

“…In postero-anterior projection, PPCs usually appear as rounded or oval opaque shadows with uniform density and well-defined borders and without calcification 77 . PPCs can also take on different and unusual radiologic appearances, such as a dumbbell shape 20,28,81 .…”

Section: Diagnostic Approach-differential Diagnosismentioning

confidence: 99%

“…Moreover, MDCT can show stalks connecting PPCs to the pericardium, thus a certain diagnosis can be established even for PPCs in unusual locations 48,[87][88][89][90][91][92][93] . PPC torsion can also get depicted via a CT scan as a mass of soft tissue in which there is an internal intertwine with fat and soft tissue attenuation, called the ''whirl sign'' which was first described in intestinal volvulus 28,94,95 .…”

Section: Diagnostic Approach-differential Diagnosismentioning

confidence: 99%

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Pleuropericardial Cyst: A Review of the Literature

Koumantzia¹,

Saridakis²,

Eleftheriou³

2019

J Cardiol and Cardiovasc Sciences

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Background: Pleuropericardial cysts (PPCs), account for 5 -10% of all mediastinal tumours, are rare lesions occurring in approximately 1 in 100000 persons and are usually congenital and rarely acquired. They are detected postmortem or incidentally on routine chest X-ray (CXR) and in most cases multi detector Computer Tomography is used to confirm the diagnosis. As benign course and clinical latency are characteristic features of such cysts and the occurrence of complications is rare, the majority of them can be left untreated. Methods:The aim of the study is to review the literature regarding PPCs and create a table which summarises all the published cases in order to draw a conclusion about the epidemiology, as well as the diagnostic and therapeutic approach to PPCs exclusively. We reviewed retrospectively the clinical manifestation, diagnostic and therapeutic approach in 101 cases of PPCs since the 19 th century Results: Our statistical analysis led to the following results: mean age of initial detection: 48.7 ± 17.2 years, female:male ratio: about 3:2, presence of symptomatology: 37/101 cases, most common location: right cardiophrenic angle (RCPA), most common method of initial detection: CXR in 49/101 cases, mean maximal diameter: 8,3 ± 3 cm. Conclusion:The management of a pleuropericardial cyst should be based on an algorithm in which the cyst's size, shape and compressibility along with clinical presentation and patient's fitness and preferences are be taken into consideration. When interventional is required, surgical resection by means of traditional open surgery or minimally invasive methods are considered to be the gold standard and along with percutaneous aspiration are the methods that have mostly been used.

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