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A large pericardial cyst complicated by a pericarditis in a young man with a mediastinal mass. 2009
Alexandra McMillan, and
Carolina A Souza, and
John P Veinot, and
Michel Turek, and
Paul Hendry, and
Gonzalo G Alvarez
Department of Medicine, The Ottawa Health Research Institute, University of Ottawa at The Ottawa Hospital, Ottawa, Ontario, Canada.
This is a case report of a 30-year-old man who presented with acute right-sided pleuritic chest pain. A chest roentgenogram performed in the emergency room shows a large, well-circumscribed transparent lesion obscuring the right heart border. Further imaging revealed a large pericardial cyst. The patient was taken to surgery as a result of clinical deterioration, and the knowledge that large pericardial cysts, although usually benign, can cause serious complications, including death. Pathology revealed an inflamed pericardial cyst with fibrinous pericarditis.
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