Noori Muhammad Atif Masood, Mohammadian Mahsa, Saeed Hasham, Abboud Rachel, Polyak Andrew, Jawed Qirat, Shah Dhaval, Singh Prabhjot, Ibrahim Marina, Joshi Meherwan
Internal Medicine, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, USA.
Cardiology, St. Joseph's University Hospital, Paterson, USA.
Cureus. 2022 Jun 17;14(6):e26037. doi: 10.7759/cureus.26037. eCollection 2022 Jun.
A pericardial cyst is one of the rare causes of mediastinal masses. Most of the cases are secondary to congenital incomplete fusion of the pericardial sac. More than two-thirds of the cases are present in the right cardiophrenic angle, and the left cardiophrenic angle is the second most common location. In our study, we illustrated an incidental finding of the pericardial cyst in a patient who presented with nonspecific symptoms and was found to have a left-sided cardiophrenic pericardial cyst, which is only found in about 20% of the cases. A CT scan and echocardiogram confirmed the diagnosis of a 4.39-centimeter cyst with no signs of complications like tamponade or pericarditis. As the patient's symptoms resolved, outpatient follow-up with serial echocardiogram was advised. Through this report, we aim to raise awareness of the importance of further investigation for nonspecific symptoms like atypical chest tightness and differentiating simple pericardial cysts from other pericardial lesions. Based on the symptoms, size, and compression effect of the cyst, management may vary from serial echocardiogram to aspiration or surgical resection.
心包囊肿是纵隔肿物的罕见病因之一。大多数病例继发于心包囊先天性不完全融合。超过三分之二的病例位于右心膈角，左心膈角是第二常见的部位。在我们的研究中，我们展示了一例心包囊肿的偶然发现，该患者表现为非特异性症状，经检查发现患有左侧心膈心包囊肿，这种情况仅在约20%的病例中出现。CT扫描和超声心动图确诊为一个4.39厘米的囊肿，没有心包填塞或心包炎等并发症的迹象。由于患者症状缓解，建议进行门诊随访并定期做超声心动图检查。通过本报告，我们旨在提高人们对于像非典型胸闷这样的非特异性症状进行进一步检查以及区分单纯心包囊肿与其他心包病变的重要性的认识。根据囊肿的症状、大小和压迫效应，治疗方法可能从定期超声心动图检查到穿刺抽吸或手术切除不等。
