Pericardial cyst simulating intracardiac mass

Patel, B. H.; Markivee, C. R.; George, Erica A.

doi:10.2214/ajr.141.2.292

Cited by 14 publications

(5 citation statements)

References 2 publications

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“…In this case, the cyst originating from the upper recess of the pericardium extends posteriorly from the pericardial cavity around the ascending aorta 36,37 . Other unusual sites that have also been reported include the other two mediastinal compartments, the vascular hila, the subcarinal area and the left heart border 33,[38][39][40][41][42] . Moreover, the PPCs that are detected in locations remote from the pericardium are believed to be pedunculated with a stalk that connects them with the pericardium 43,44 .…”

Section: Discussionmentioning

confidence: 99%

“…On a CT scan, the PPC is a thin-walled, well-marginated, oval homogeneous mass, usually unilocular, while multilocular cysts have also been reported 8 . Their attenuation is low (0-20HU), although sometimes it may be a little higher than water density (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40). This is probably because of a high protein and cells content due to bleeding or infection 84 .…”

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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Section: Discussionmentioning

confidence: 99%

Section: Diagnostic Approach-differential Diagnosismentioning

confidence: 99%

Pleuropericardial Cyst: A Review of the Literature

Koumantzia¹,

Saridakis²,

Eleftheriou³

2019

J Cardiol and Cardiovasc Sciences

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“…In case 9 there was a pericardial cyst with CT of 20 HU. Pericardiac coelomic cysts are the most common benign mass lesion of the pericardium [7]. They are mostly located at the right cardiophrenic angle and their attenuation coefficient is in the range of water density, 0-15 HU [7].…”

Section: Discussionmentioning

confidence: 99%

“…Pericardiac coelomic cysts are the most common benign mass lesion of the pericardium [7]. They are mostly located at the right cardiophrenic angle and their attenuation coefficient is in the range of water density, 0-15 HU [7]. However, there are cases with high attenuations because of the presence of intracystic material such as calcium oxalate, viscous mucoid, or haemorrhage [8].…”

Section: Discussionmentioning

confidence: 99%

Intrathoracic Lipomas Demonstrated By Computed Tomography

Barış

Kalyoncu²,

Aydıner³

et al. 1990

Respiration

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Nine cases of intrathoracic lipoma are reported. Computed tomography (CT) proved to be helpful in the diagnosis and management of these cases. The attenuations of the masses ranged from -70 to -140 Hounsfíeld units (HU). In 4 cases, needle biopsies were taken, confirming lipoma with mature fat cells. One patient also had a coelomic cyst with an attenuation of 20 HU, which was confirmed at thoracotomy. Another had an atypical lipoma which infiltrated the thoracic wall but was benign. In conclusion, we recommend investigation with CT scan for the diagnosis of lipoma

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“…Οι περικαρδιακές κύστεις εµβρυολογικά θεωρούνται ότι προκύπτουν από ελλιπή συνένωση ενός ή περισσοτέρων µεσεγχυµατικών θυλάκων, που συνενώνονται για το σχηµατισµό του περικαρδίου ή από επιµονή παραµονής ενός κεντρικού περικαρδιακού εκκολπώµατος 12 . Η συχνότερη εντόπιση τους είναι στη δεξιά καρδιοφρενική γωνία, αλλά µπορεί και εντοπίζονται σε οποιαδήποτε θέση πλησίον του περικαρδίου 21,92,93,94,95 . Συνήθως απεικονίζονται οµοιογενείς µε απορρόφηση ύδατος, αλλά σπάνια µπορεί να εµφανίζουν υψηλότερη απορρόφηση όταν το υγρό που περιέχουν είναι αυξηµένης γλοιότητας 92 .Οι περικαρδιακές κύστεις συνήθως έχουν σαφή όρια 92,96 .…”

Section: περικαρδιακή κύστηunclassified

Διερεύνηση Των Ογκόμορφων Εξεργασιών Του Μεσοθωράκιου Με Τη Σπειροειδή Αξονική Τομογραφία Και Το Μαγνητικό Συντονισμό

Spanos¹,

Σπανός²

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Pericardial cyst simulating intracardiac mass

Cited by 14 publications

References 2 publications

Pleuropericardial Cyst: A Review of the Literature

Pleuropericardial Cyst: A Review of the Literature

Intrathoracic Lipomas Demonstrated By Computed Tomography

Διερεύνηση Των Ογκόμορφων Εξεργασιών Του Μεσοθωράκιου Με Τη Σπειροειδή Αξονική Τομογραφία Και Το Μαγνητικό Συντονισμό

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