McMillan Alexandra, Souza Carolina A, Veinot John P, Turek Michel, Hendry Paul, Alvarez Gonzalo G
Department of Medicine, The Ottawa Health Research Institute, University of Ottawa at The Ottawa Hospital, Ottawa, Ontario, Canada.
Ann Thorac Surg. 2009 Aug;88(2):e11-3. doi: 10.1016/j.athoracsur.2009.05.024.
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.
这是一例30岁男性的病例报告，该患者表现为急性右侧胸膜炎性胸痛。在急诊室进行的胸部X线检查显示一个大的、边界清晰的透亮病变，遮挡了右心缘。进一步的影像学检查发现一个大的心包囊肿。由于临床病情恶化，且鉴于大的心包囊肿虽然通常为良性，但可导致严重并发症，包括死亡，该患者接受了手术治疗。病理检查显示为一个伴有纤维素性心包炎的炎性心包囊肿。
