Qamar Younus, Gulzar Maryam, Qamar Amna, Sabry Haytham, Minhas Tariq
Department of Cardiothoracic Surgery, The Essex Cardiothoracic Centre, Basildon & Thurrock University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, GBR.
Department of Cardiothoracic Surgery, School of Medicine, University of Liverpool, Liverpool, GBR.
Cureus. 2022 Apr 7;14(4):e23917. doi: 10.7759/cureus.23917. eCollection 2022 Apr.
A pericardial cyst is a rare and benign cause of a mediastinal mass. They are frequently asymptomatic and are usually incidental findings on imaging. Symptoms may include persistent cough, atypical chest pain, dysphagia, and dyspnea. Diagnosis is usually established with the aid of imaging, including a chest x-ray, a computed tomography (CT) scan, and magnetic resonance imaging (MRI). Therapeutic options include surgical resection or aspiration for large and/or symptomatic cysts, whereas conservative management with routine follow-up is advised for small or asymptomatic cysts. We herein describe the case of a 48-year-old lady, who presented with clinical features suggestive of acute cholecystitis, with an incidental finding of a pericardial cyst, measuring approximately 10.1 cm x 8.7 cm x 10.7 cm. The patient underwent video-assisted thoracoscopic surgery (VATS) for excision of the pericardial cyst. She had an uneventful recovery and was discharged on the second post-operative day. At six months, there was no evidence of disease recurrence.
心包囊肿是纵隔肿物的一种罕见良性病因。它们通常无症状，常在影像学检查时偶然发现。症状可能包括持续咳嗽、非典型胸痛、吞咽困难和呼吸困难。诊断通常借助影像学检查来确立，包括胸部X线、计算机断层扫描（CT）和磁共振成像（MRI）。治疗选择包括对大的和/或有症状的囊肿进行手术切除或穿刺抽吸，而对于小的或无症状的囊肿，建议进行常规随访的保守治疗。我们在此描述一例48岁女性病例，她表现出提示急性胆囊炎的临床特征，偶然发现一个心包囊肿，大小约为10.1厘米×8.7厘米×10.7厘米。该患者接受了电视辅助胸腔镜手术（VATS）切除心包囊肿。她恢复顺利，术后第二天出院。六个月时，没有疾病复发的迹象。
