Makar Michael, Makar Gabriel, Yousef Kerolos
Geisinger Commonwealth School of Medicine, 525 Pine Street, Scranton, PA 18510, USA.
Cooper Medical School of Rowan University, 401 Broadway, Camden, NJ 08103, USA.
Case Rep Cardiol. 2018 Dec 5;2018:4796903. doi: 10.1155/2018/4796903. eCollection 2018.
Pericardial cysts are an uncommon cause of mediastinal masses and may be found incidentally on imaging. Symptoms commonly include cough, chest pain, and shortness of breath elucidating a broad differential on examination. Diagnosis is predominantly made using imaging modalities, such as CT, MRI, and CXR with treatment including resection for symptomatic cysts and observation for asymptomatic cysts. Due to a lack of specific signs and symptoms towards identifying pericardial cysts, many are identified at a later stage requiring resection by video-assisted thoracoscopic surgery (VATS). We present the rare case of a patient presenting with a sudden onset cough, shortness of breath, and pleuritic chest pain found to have a large pericardial cyst.
心包囊肿是纵隔肿块的罕见病因，可能在影像学检查时偶然发现。常见症状包括咳嗽、胸痛和呼吸急促，这在检查时会引发广泛的鉴别诊断。诊断主要依靠影像学检查方法，如CT、MRI和胸部X线检查，治疗方法包括对有症状的囊肿进行切除，对无症状的囊肿进行观察。由于缺乏识别心包囊肿的特异性体征和症状，许多心包囊肿在后期才被发现，需要通过电视辅助胸腔镜手术（VATS）进行切除。我们报告了一例罕见病例，患者突然出现咳嗽、呼吸急促和胸膜炎性胸痛，经检查发现患有一个大型心包囊肿。
