Hekmat Manouchehr, Ghaderi Hamid, Tatari Hassan, Arjmand Shabestari Abbas, Mirjafari Seyedeh Adeleh
Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Radiology, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Radiol. 2016 Jan 1;13(1):e21921. doi: 10.5812/iranjradiol.21921. eCollection 2016 Jan.
Pericardial cysts are rare lesions. These benign anomalies are located in the middle mediastinum. In this article, we present a 24-year-old man who was referred to the emergency department with dyspnea and persistent cough. In physical exam, no abnormality was found. His past medical history was normal. His trans-thoracic echocardiogram showed an echo-lucent space next to the right atrium at the right cardiophrenic angle. No pericardial effusion was found. The patient underwent surgery. After midsternotomy, a huge cyst measuring approximately 13 × 8 × 5 cm in diameters was found on the right side and outside the pericardium that was totally excised. After 5 days, the patient was discharged and pathologic report confirmed preoperative diagnosis of pericardial cyst. Giant pericardial cysts are not common and in this report, we will review published case reports.
心包囊肿是罕见的病变。这些良性异常位于中纵隔。在本文中，我们介绍了一名24岁男性，他因呼吸困难和持续咳嗽被转诊至急诊科。体格检查未发现异常。他既往病史正常。他的经胸超声心动图显示在心右膈角处右心房旁有一个无回声区。未发现心包积液。患者接受了手术。正中胸骨切开术后，在右侧心包外发现一个巨大囊肿，直径约为13×8×5 cm，将其完全切除。5天后，患者出院，病理报告证实术前诊断的心包囊肿。巨大心包囊肿并不常见，在本报告中，我们将回顾已发表的病例报告。
