Massari F M, La Marchesina U, Buffa P, Arpesani A, Foresti A
Divisione di Cardiologia, Ospedale Maggiore IRCCS, Milano.
G Ital Cardiol. 1997 May;27(5):476-9.
The authors describe the clinical case of a 21-year-old girl who was admitted to the hospital because of pericardial symptomatology. On admission, a transthoracic echocardiogram revealed moderate pericardial effusion and an anterior parenchimallike mediastinal mass, that extended as far as the main vessels and the anterior wall of the right ventricle. This report was subsequently confirmed by a computed tomography chest scan. Due to the rupture into the pericardial cavity, which was followed by considerable pericardial effusion, she was immediately taken to the operating room for pericardiocentesis and the decision was then made in order to excise the mass. The hystological diagnosis revealed "benign cystic mature teratoma of the mediastinum". The authors' literature data is included, and the article also emphasizes the importance of using echocardiograms in casualties in order to obtain a differential diagnosis of chest pain.
作者描述了一名21岁女孩的临床病例，该女孩因心包症状入院。入院时，经胸超声心动图显示中度心包积液和一个位于前纵隔、类似实质的肿块，该肿块延伸至主要血管和右心室前壁。随后的胸部计算机断层扫描证实了该报告。由于肿块破裂至心包腔并伴有大量心包积液，她立即被送往手术室进行心包穿刺术，随后决定切除肿块。组织学诊断为“纵隔良性囊性成熟畸胎瘤”。文中纳入了作者的文献数据，并且强调了在急诊中使用超声心动图以对胸痛进行鉴别诊断的重要性。
