Hamdan Jaafar A, Khan Akbar, Mora Annalee, Randhawa Amrita, Castano Maria
Internal Medicine, HCA Healthcare/University of South Florida (USF) Morsani College of Medicine: HCA Florida Oak Hill Hospital, Brooksville, USA.
Medicine, HCA Healthcare/University of South Florida (USF) Morsani College of Medicine: HCA Florida Oak Hill Hospital, Brooksville, USA.
Cureus. 2024 Feb 3;16(2):e53522. doi: 10.7759/cureus.53522. eCollection 2024 Feb.
This is a case of a 37-year-old female patient with past medical history of mitral valve prolapse and benign mesothelial pericardial cyst status post laparoscopic resection who presented to the emergency department with a chief complaint of right-sided sharp non-radiating chest pain due to recurrent case of benign mesothelial pericardial cyst. Though this is not a common pathology, it does overlap with common cardiovascular symptoms/conditions; not limited to but including chest pain, dyspnea, palpitations, pericardial effusions, infections and arrhythmias. It is crucial to have appropriate history and physical exam and appropriate evaluation to rule out pericardial cysts as well as their locations and their potential lethal mechanical implication on crucial nearby structures. This is significant in order to avoid uncommon but lethal cardiac complications in this condition such as cardiac arrhythmias, cardiac tamponade, right ventricular outflow tract and even sudden cardiac death.
这是一例37岁女性患者，既往有二尖瓣脱垂病史，曾行腹腔镜切除良性间皮性心包囊肿。该患者因良性间皮性心包囊肿复发，以右侧尖锐性、非放射性胸痛为主诉就诊于急诊科。虽然这不是一种常见的病理情况，但它确实与常见的心血管症状/疾病有重叠；包括但不限于胸痛、呼吸困难、心悸、心包积液、感染和心律失常。进行适当的病史采集、体格检查和评估以排除心包囊肿及其位置，以及它们对附近关键结构潜在的致命机械影响至关重要。这对于避免这种情况下不常见但致命的心脏并发症，如心律失常、心脏压塞、右心室流出道问题甚至心源性猝死具有重要意义。
