The ultrasound appearance of an unusual fetal pericardial cyst

Ranzini, Angela C.; Shakir, Hussain; Nadaraj, Sumekala; Sannoh, Sulaiman; Polam, Sharada

doi:10.1002/jcu.22496

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…[8] The reported cases of fetal pericardial cyst diagnosed by prenatal ultrasound to date are usually not combined with other anomalies and abnormal signs, and only a few cases of fetal tachycardia have been reported, but the symptoms disappear after birth. [8,10,12,13] Follow-up is recommended for asymptomatic lesions in the neonatal Surgical intervention is recommended only when symptoms appear in the fetal or neonatal period or the cyst increases rapidly and ruptures. [10,14,15]…”

Section: Discussionmentioning

confidence: 99%

Prenatal ultrasound diagnosis of fetal giant pericardial cyst: A case report

et al. 2023

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Rationale: We describe 1 case of fetal giant pericardial cyst was diagnosed by fetal echocardiography in the second trimester, and the changes of the cyst were recorded by follow-up observation in the late trimester and after birth. We then review and discuss the knowledge about its diagnosis and treatment. Patient concerns: A 34-year-old pregnant woman was referred to our hospital because of a diagnosis of a fetal pericardial effusion at 22 5/7 weeks at another hospital. Diagnosis: Fetal echocardiography revealed an irregular anechoic area in the right side of the fetal right atrium and right ventricle that was closely related to but not communicated with the pericardiumis and suggested fetal pericardial cyst. Fetal cardiothoracic magnetic resonance imaging showed cystic FIESTA signal in the right lung region, with clear boundary, and a seemingly line-like low signal shadow within. Interventions: Since fetal pericardial cysts keep decreasing in size during maternal pregnancy, follow-up observation measures are taken. Outcomes: Fetal pericardial cysts disappear on their own 4 months after delivery. Lessons: Asymptomatic pericardial cysts in the fetal period can be followed up and observed, and intervention is performed only when the cyst rapidly enlarges or ruptures and becomes infected in the fetal or neonatal period. Echocardiography can be used as a first-line detection method for their initial detection and follow-up.

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Section: Discussionmentioning

confidence: 99%

Prenatal ultrasound diagnosis of fetal giant pericardial cyst: A case report

et al. 2023

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“…[ 5 ] Seventy percent of the cases have been reported to be located in the right cardiophrenic angle, with 22% in the left cardiophrenic angle, and 8% in the anterior-superior or posterior part of the mediastinum. [ 6 , 7 ] However, the diagnosis of pericardial cysts can be especially challenging due to their rarity and is more difficult when the lesion occurs outside the typical location, as in this case. Furthermore, when the lesion is extensive and involves mediastinal and thoracic structures, the atypical presentation further complicates the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

A large pericardial cyst mimicking a unilateral pleural effusion: A case report

Yang

et al. 2023

Medicine

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Rationale: Pericardial cysts are a rare benign disorder with a variable clinical presentation depending on their size and location. The diagnosis of pericardial cysts is usually based on imaging examinations. The definitive treatment is surgical resection. Patient concern: A 36-year-old woman presented with progressive left-sided chest pain and exertional dyspnea, with symptoms resembling pleural effusion. Diagnoses: The patient was diagnosed with a pericardial cyst based on imaging and video-assisted thoracoscopic surgery (VATS). Intervention: VATS was performed. Outcomes: The patient’s symptoms improved after successful removal of the pericardial cyst. Follow-up chest computed tomography exhibited no evidence of recurrence. Lessons: Clinicians should include pericardial cysts in the differential diagnosis of pseudopleural effusion. VATS is a feasible and safe method to treat symptomatic and large pericardial cysts.

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“…PCs, which occur in approximately one person per 100,000 and comprise 7% of all mediastinal tumors, are benign intrathoracic lesions [6]. These cysts are typically found at the right cardiophrenic angle (51%-70%) or left cardiophrenic angle (28%-38%), with rare occurrences in other non-adjacent mediastinal locations (8%-11%) [4]. Histologically, they are lined with a single layer of mesothelial cells and surrounded by connective tissue containing collagen and elastic fibers.…”

Section: Discussionmentioning

confidence: 99%

“…It can also develop as acquired conditions secondary to pericarditis, inflammatory disorders, or previous surgeries. PCs typically grow in the right cardiophrenic triangle (51%-70%), with the left cardiophrenic triangle (28%-38%) and other areas of the mediastinum being less common locations [4].…”

Section: Introductionmentioning

confidence: 99%

Large Pericardial Cyst Mimicking Recurrent Unilateral Pleural Effusion on CT Scan: A Case Report and Literature Review

Al Khalifa,

Al Khalifa

2023

Cureus

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Pericardial cysts are an uncommon, benign condition that can manifest with diverse clinical symptoms influenced by their size and position within the body. Detecting pericardial cysts typically relies on imaging studies for a conclusive diagnosis. Surgical removal remains the definitive treatment approach for addressing pericardial cysts. This case report presents the clinical course of a 56-year-old female with a known case of asthma, and rheumatoid arthritis (RA) which exhibited recurrent symptoms such as shortness of breath and cough with recurrent pleural effusion to be investigated for suspected empyema, encysted effusion, TB, or malignancy, leading to diagnostic challenges. Through a combination of reviewing the case's clinical history, imaging modalities, and diagnostic procedures, including serial computed tomography (CT) and x-rays, the accurate diagnosis of a pericardial cyst sized 4.4 cm x 10.5 cm x 6.2 cm was achieved. In this specific case, recurrent percutaneous pleural aspirations were attempted as a treatment approach for three years. However, despite these efforts, this method proved unsuccessful in effectively managing the patient's condition. Using minimally invasive techniques, video-assisted thoracoscopic surgery (VATS) proved valuable in providing effective diagnostic and therapeutic options with reduced invasiveness. Timely diagnosis, proper monitoring, and patient education contributed to the patient's overall recovery.

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The ultrasound appearance of an unusual fetal pericardial cyst

Cited by 4 publications

References 9 publications

Prenatal ultrasound diagnosis of fetal giant pericardial cyst: A case report

Prenatal ultrasound diagnosis of fetal giant pericardial cyst: A case report

A large pericardial cyst mimicking a unilateral pleural effusion: A case report

Large Pericardial Cyst Mimicking Recurrent Unilateral Pleural Effusion on CT Scan: A Case Report and Literature Review

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