Singh Jaswinder, Rana Sandeep Singh, Kaur Amulyajit, Srivastava Vishal, Singh Harkant, Sharma Rajeshwar
Department of Cardiovascular and Thoracic Surgery, Military Hospital (Cardiothoracic Centre), Golibar Maidan, Pune, India.
Surg Today. 2009;39(8):700-4. doi: 10.1007/s00595-008-3903-7. Epub 2009 Jul 29.
Intrapericardial teratomas are rare after infancy. An accurate diagnosis can only be made with a high index of suspicion. Most of the time, a mediastinal teratoma ruptures/perforates the pericardial cavity, thus causing either pericardial effusion or life-threatening tamponade. These factors emphasize the importance of an early surgical excision even for extrapericardial locations. This report presents the case of a 16-year-old girl with intrapericardial teratoma who presented with cardiac tamponade which is a rare complication of this rare tumor with only eight cases reported so far beyond infancy. This patient presented with recurrent tamponade, and underwent multiple procedures of pericardiocentesis and developed pyopericardium and polyserositis. This intrapericardial teratoma was not detected by imaging modalities.
心包内畸胎瘤在婴儿期后较为罕见。只有高度怀疑才能做出准确诊断。大多数情况下，纵隔畸胎瘤会破裂/穿破心包腔，从而导致心包积液或危及生命的心脏压塞。这些因素凸显了早期手术切除的重要性，即使是在心包外部位。本报告介绍了一名16岁患有心包内畸胎瘤的女孩的病例，该女孩出现了心脏压塞，这是这种罕见肿瘤的一种罕见并发症，迄今为止婴儿期后的报道仅有8例。该患者出现反复心脏压塞，接受了多次心包穿刺术，并发展为脓性心包炎和多浆膜炎。这种心包内畸胎瘤未被影像学检查发现。
