Sallade T Douglas, Kraus Chadd K, Hoffman Lisa
Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania.
Clin Pract Cases Emerg Med. 2019 Jul 1;3(3):199-201. doi: 10.5811/cpcem.2019.5.42601. eCollection 2019 Aug.
Pericardial cysts were first described in 1837 as diverticula extending from the pericardium. They are rare and frequently asymptomatic. Symptomatic presentations may be similar to more common causes of chest pain or dyspnea such as acute coronary syndrome or pulmonary embolism. Emergency physicians should consider mediastinal mass, and in this case pericardial cyst, in the differential diagnosis of chest pain because of the risk for tamponade, sudden cardiac death, or other life-threatening complications. Here, we describe a novel presentation of a pericardial cyst presenting as atypical chest pain.
心包囊肿于1837年首次被描述为从心包延伸出的憩室。它们很罕见，且常常没有症状。有症状的表现可能类似于胸痛或呼吸困难的更常见原因，如急性冠状动脉综合征或肺栓塞。由于存在心包填塞、心源性猝死或其他危及生命的并发症风险，急诊医生在胸痛的鉴别诊断中应考虑纵隔肿物，在这种情况下要考虑心包囊肿。在此，我们描述了一例表现为非典型胸痛的心包囊肿的新病例。
