• The differential diagnosis for a suspected pericardial cyst includes a bronchial cyst, pericardial effusion, teratoma, lymphangioma, pericardial fat, congenital diaphragmatic hernia, neuroenteric cyst, and congenital cyst from the primitive foregut. (wikipedia.org)
  • A 7-year-old male patient with a history of recurrent abdominal pain over 1 year presented with cardiac tamponade due to massive pericardial effusion, which was percutaneously drained. (thieme-connect.de)
  • Concurrent acute pancreatitis and pericardial effusion. (thieme-connect.de)
  • Pericardial diseases can present clinically as acute pericarditis, pericardial effusion, cardiac tamponade, and constrictive pericarditis. (elsevierpure.com)
  • Most pericardial cysts are asymptomatic, but patients may present with chest pain, dyspnea and any complications of pericardial effusion. (sagepub.com)
  • We report a case of a 58-year-old female with a giant benign thymic cyst which entered in differential diagnosis with pericardial cyst and pericardial effusion. (anmco.it)
  • She had a history of a mediastinal liquid mass incidentally discovered 9 years before which was interpreted at that time as a loculated pericardial effusion (Fig. 1). (anmco.it)
  • She had a history of a tuberculous pericardial effusion one year prior to admission and had completed a regimen consisting of six months of anti-tuberculous therapy and steroids. (sajr.org.za)
  • CT-scan revealed a mediastinal cyst with typical radiological pattern compatible with benign pleuro-pericardial cyst. (europeanreview.org)
  • A pericardial cyst is an uncommon benign dilatation of the pericardial sac surrounding the heart. (wikipedia.org)
  • Although pericardial cysts are benign, the location of cysts can rarely cause life-threatening emergencies by compressing the heart or lungs. (wikipedia.org)
  • Pericardial cysts are rare benign intrathoracic lesions, and calcified pericardial cysts are even more uncommon. (sagepub.com)
  • With thoracic CT, normal variants and benign tumors, such as fat- and fluid-filled cysts, can be distinguished from other processes. (msdmanuals.com)
  • Background: Benign thymic cysts are a rare clinical entity, representing approximately 3% of all mediastinal masses and can be congenital or acquired. (anmco.it)
  • Background: Mediastinal cysts are benign lesions that may be seen in adulthood as well as in childhood. (clinicofsurgery.org)
  • The main cystic masses are congenital benign cysts (bronchogenic, esophageal replications, neuro-enteric, pericardial and thymic cysts), meningocele, mature cystic teratoma and lymphangioma. (clinicofsurgery.org)
  • Pericardial cysts most often are asymptomatic, with 50 to 75% of patients experiencing no symptoms. (wikipedia.org)
  • Since pericardial cysts are often asymptomatic, the most common diagnosis is through incidental finding on a chest x-ray. (wikipedia.org)
  • Some authors do not recommend resection of small asymptomatic bronchogenic cysts, whereas others advise aspiration of such cysts and resection only for those with symptoms or recurrence. (medscape.com)
  • Structural abnormalities including congenitally absent pericardium and pericardial cysts are usually asymptomatic and are uncommon. (elsevierpure.com)
  • Many mediastinal masses are asymptomatic. (msdmanuals.com)
  • Pericardial cysts make up 6-7% of all mediastinal masses. (wikipedia.org)
  • In defining the location of specific mediastinal masses, the portion of the thorax defined as the mediastinum extends from the posterior aspect of the sternum to the anterior surface of the vertebral bodies and includes the paravertebral sulci. (medscape.com)
  • Because a number of mediastinal tumors and other masses are most commonly found in particular mediastinal locations, many authors have artificially subdivided the area for better descriptive localization of specific lesions. (medscape.com)
  • Mediastinal masses are divided into those that occur in the anterior, middle, and posterior mediastinum. (msdmanuals.com)
  • Chronic fibrosing mediastinitis (eg, caused by tuberculosis, histoplasmosis) is a rare cause of mediastinal masses. (msdmanuals.com)
  • In children, the most common mediastinal masses are neurogenic tumors and cysts. (msdmanuals.com)
  • Large anterior mediastinal masses may cause dyspnea when patients are lying supine. (msdmanuals.com)
  • Mediastinal masses are most often incidentally discovered on chest x-ray or other imaging tests during an examination for chest symptoms. (msdmanuals.com)
  • Pericardial cysts and diverticula compose %7 of all mediastinal masses. (selcukmedj.org)
  • the posterior mediastinum masses are often neurogenic tumors and esophageal cysts. (blunck-medical-books.de)
  • In this context, the proposed book will provide a comprehensive review of the mediastinal tumors according to different sites of the diseases, including the masses of anterior, middle and posterior mediastinum. (blunck-medical-books.de)
  • Masses of the middle mediastinum are typically congenital cysts, including foregut and pericardial cysts, while those that arise in the posterior mediastinum are often neurogenic tumors1. (romanianjournalcardiology.ro)
  • Thoracoscopy is also extremely useful in the evaluation and treatment of mediastinal masses. (abdominalkey.com)
  • Esophageal varices can be seen as lobulated posterior mediastinal masses in 5-8% of patients. (medscape.com)
  • The mediastinum is limited bilaterally by the mediastinal parietal pleura and extends from the diaphragm inferiorly to the level of the thoracic inlet superiorly. (medscape.com)
  • Rarely, bronchogenic cysts may be found in the anterior mediastinum, and some have been reported within the thymus. (medscape.com)
  • Pericardial cysts and diverticula are generally present at right cardiophrenic sinus also within left cardiophrenic sinus, superıor mediastinum, aortic arch level and left hilum. (selcukmedj.org)
  • Heuer noted that at that time dermoid cysts and teratomas were the most commonly found tumors of the mediastinum. (medscape.com)
  • Invasive mediastinal tumors have a very poor prognosis, but this tumor located in mediastinum is very rare, so unfortunely aren't many data about it, and estimated survival for this patient. (romanianjournalcardiology.ro)
  • Diagnosis of a pericardial cyst can also be made before birth using ultrasound. (wikipedia.org)
  • Elevated amylase and lipase levels of the cyst fluid confirmed the diagnosis of pancreatic pseudocyst, which was treated with an octreotide infusion and Roux-en-Y cystojejunostomy. (thieme-connect.de)
  • We want to present similarities and differences of symptoms, diagnosis and treatment of pericardial cysts and diverticula which are important in differential diagnosis of mediastinal cystic lesions within these 3 cases. (selcukmedj.org)
  • Discussion: The echocardiographic features of mediastinal cysts are not specific for the type of cystic lesion, so the origin and location of the cyst can be used for differential diagnosis. (anmco.it)
  • Conclusion: Our case is a rare example of a giant thymic cyst which was extremely difficult to differentiate from other paracardiac cystic lesions and required integrated imaging and discussion by a team of experts of different specialties to make the correct diagnosis. (anmco.it)
  • Contrast-enhanced computed tomography revealed a large posterior mediastinal cyst and calcified, heterogeneous pancreatic parenchyma. (thieme-connect.de)
  • A computed tomography examination after the pericardial drainage showed a pericardial cyst without heart muscle involvement, making the treatment possible through anterior thoracotomy and without performing cardiopulmonary bypass. (scipedia.com)
  • Computed tomography has the best spatial resolution, while the magnetic resonance has better capacity to differentiate the content of the cyst, especially when it is not a homogeneous liquid lesion. (anmco.it)
  • Zoran Rancic, Presentation of pericardial hydatid cyst as acute cardiac tamponade, Asian Journal of Surgery (2017). (scipedia.com)
  • Differentiation of pericardial cysts from diverticula is usually impossible as both the lesions have similar radiological appearance. (wikipedia.org)
  • Pericardial cysts and diverticula are lesions which resemble themselves in shape, localiaztion and symptoms. (selcukmedj.org)
  • In this study, we aimed to analyze the mediastinal cysts operated in our clinic according to the histopathological type, surgical type, morbidity rates and to contribute to the literature on these rare lesions. (clinicofsurgery.org)
  • It allows excellent access and visualization for biopsy and resection of mediastinal conditions such as enlarged lymph nodes, thymic and thyroid lesions, cystic hygromas, foregut duplications, ganglioneuromas, and neuroblastomas. (abdominalkey.com)
  • We present you a case of a young caucasian man, recently diagnosticated with myastenia gravis, that had a CT scan and discovered a mediastinal tumor, probably a thymoma. (romanianjournalcardiology.ro)
  • mediastinal tumor, liposarcoma, atypical lipomatous tumor. (romanianjournalcardiology.ro)
  • Therefore, tumors and cysts that occur in this area can represent many different clinical entities and pathologic processes. (medscape.com)
  • The loss of these proteins along with the influence of estrogen allows the cell to grow and divide in an uncontrolled way, resulting in the tumors and cysts associated with lymphangiomyomatosis. (wikidoc.org)
  • Surprisingly, the pathology were indicative of cystic mediastinal recurrence from ovarian adenocarcinoma. (europeanreview.org)
  • Percutaneous aspiration removes the fluid from inside the cyst, and ethanol sclerosis uses the injection of ethanol into the cyst after aspiration to decrease the likelihood of cyst recurrence. (wikipedia.org)
  • Bronchogenic cysts can also be found in this area and have been found in the paravertebral sulcus. (medscape.com)
  • All large and symptomatic bronchogenic cysts are included in the group, as are all enteric gastroenteric and neurenteric cysts. (medscape.com)
  • and (2) some cases of bronchogenic cysts found in adult patients in which the cyst is small and the patient has no symptoms. (medscape.com)
  • All the findings were then collegially reviewed and it was suspected of being a giant thymic cyst especially due to its rapid growth and spatial evolution over time. (anmco.it)
  • We report a case of a young female patient who presented with adhesive pericarditis that mimicked a pericardial tumour. (sajr.org.za)
  • Excision of pleuropericardial cysts and simple mesothelial cysts is indicated for diagnostic purposes only. (medscape.com)
  • Thymic cysts require excision or enucleation. (medscape.com)
  • Thoracic duct cysts require excision and accompanying ligation of the thoracic duct. (medscape.com)
  • Pericardial cysts can be congenital or acquired, and they are typically diagnosed with radiologic imaging. (wikipedia.org)
  • Pericardial cysts can be congenital or acquired, with the majority being congenital. (wikipedia.org)
  • Although hydatid cysts can be found in any part of the body, they most often affect the liver and lungs. (scipedia.com)
  • 1 Cardiac hydatid cysts are mostly intramyocardial and are usually located in the left ventricle, followed by the interventricular septum and the right ventricle. (scipedia.com)
  • Management of pericardial cysts can include follow-up imaging, percutaneous aspiration, or surgical resection. (wikipedia.org)
  • In 1931, the first surgical resection of a pericardial cyst was performed by Otto Pickhardt at Lenox Hill Hospital in New York using a thoracoscopy. (wikipedia.org)
  • Surgical resection is indicated for most mediastinal cysts. (medscape.com)
  • When patients have symptoms, transthoracic echocardiogram is one of the first tests used to look for a pericardial cyst. (wikipedia.org)
  • Pericardial cysts that are small and cause no symptoms can be followed with repeat imaging through echocardiogram, CT, or MRI to assess for changes. (wikipedia.org)
  • Pericardial cysts that are large or cause symptoms may be candidates for percutaneous aspiration, ethanol sclerosis, or surgery. (wikipedia.org)
  • With most pericardial cysts having no symptoms, the prognosis is very good. (wikipedia.org)
  • In 1893, Bastinelli described the removal of an anterior mediastinal dermoid cyst. (medscape.com)
  • This area is limited anterior - by the sternum, posterior - the spinal column, laterally - the mediastinal pleura, inferiorlly - the diafragm, superior by a plan that crosses inferior to the clavicules. (romanianjournalcardiology.ro)
  • The lone differentiating feature is the presence of communicating tract between pericardium and the cyst cavity in the diverticula, unlike the fully walled off pericardial cyst. (wikipedia.org)
  • The layer of pericardium was not clear, so we could not rule out pericardial rupture from the CT scan. (biomedcentral.com)
  • The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers. (nih.gov)
  • Percutaneous aspiration with ethanol sclerosis is typically the first treatment for pericardial cyst that requires management. (wikipedia.org)
  • On CT and MRI a pericardial cyst will commonly appear as a round, fluid-filled structure surrounded by thin walls. (wikipedia.org)
  • [ 7 ] can develop within the middle mediastinal compartment, but more commonly, they are extensions of these abnormalities from the cervical lymphatics. (medscape.com)
  • Mediastinal pancreatic pseudocyst-a case report and review of the literature. (thieme-connect.de)
  • Mediastinal pancreatic pseudocyst in chronic pancreatitis. (thieme-connect.de)
  • Cardiac compromise due to a pancreatic mediastinal pseudocyst. (thieme-connect.de)
  • Transthoracic four-chamber echocardiographic view showing the large pericardial fluid and multilocular cyst (marked with arrow). (scipedia.com)
  • Excessive proteolytic activity from the proliferation of the smooth muscle cells result in lung destruction and formation of cysts. (wikidoc.org)
  • The abnormal proliferation and formation of cysts, causes obstructive pattern of lung disease [9] . (wikidoc.org)
  • Perikardial kist ve divertiküller tüm mediastinal kitlelerin yaklaşık olarak %7' lik bir kısmını oluştururlar. (selcukmedj.org)
  • Biz burada üç olgu üzerinden mediastinal kistik lezyonların ayrıcı tanısında önemli yer tutan perikardiyal kist ve perikardiyal divertiküllerin semptom, tanı ve tedavi yönünden benzerliklerine ve farklılıklarına değinmek istedik. (selcukmedj.org)
  • We report a case of a 47-year-old man with isolated pericardial hydatid cyst (without myocardial involvement) that presented as acute pericardial tamponade. (scipedia.com)
  • After initial investigation and transthoracic echocardiography, emergent pericardial drainage was performed for downgrading the urgency of a definitive treatment for a hydatid cyst. (scipedia.com)
  • Patients with mediastinal tumors can have specific clinical findings, depending on organ compresion or invasion, but frequently is not specific. (romanianjournalcardiology.ro)
  • The presentation of symptomatic cysts depends on the cyst location and effects on nearby structures, including the heart, lungs, and esophagus. (wikipedia.org)
  • As the cysts develop throughout the lungs, lymphangiomyomatosis causes breathing problems. (wikidoc.org)
  • Formation of cysts in lungs. (wikidoc.org)
  • Histological examination confirmed the thymic origin of the cyst and excluded malignancy. (anmco.it)
  • As the field of radiology progressed, pericardial cysts could be identified in living patients. (wikipedia.org)
  • Complete surgical removal of the cyst was performed. (scipedia.com)
  • The inflammation can lead to a walled-off pocket of fluid that is a pericardial cyst. (wikipedia.org)