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Pericarditis in a Child with an Intrapericardial Bronchogenic Cyst

Tim Attmann1, Christina Grothusen1, Carsten Rickers2

  • 1Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

The Thoracic and Cardiovascular Surgeon Reports
|December 27, 2016
PubMed

Insights

Intrapericardial bronchogenic cysts (IBCs) are rare congenital malformations. This case highlights an IBC presenting as chest pain and fever in a child, emphasizing their potential as a serious cause of inflammation.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery
  • Congenital Malformations

Background:

  • Intrapericardial bronchogenic cysts (IBCs) are rare congenital anomalies.
  • Typically asymptomatic, IBCs can present with serious complications.

Purpose of the Study:

  • To report a case of a symptomatic intrapericardial bronchogenic cyst in a child.
  • To highlight the diagnostic and management challenges of IBCs.

Main Methods:

  • Case presentation of a 9-year-old boy with chest pain and fever.
  • Diagnostic imaging revealing a pericardial effusion and a mass.
  • Surgical excision of the mass and confirmation via immunohistochemistry.

Main Results:

  • A large IBC was identified and successfully excised.
  • The patient experienced a post-operative postcardiotomy syndrome, managed conservatively.
  • Follow-up remained uneventful.

Conclusions:

  • IBCs, though rare, can manifest as a significant cause of pediatric inflammation.
  • Early diagnosis and surgical intervention are crucial for managing symptomatic IBCs.

Keywords:
cardiac anatomymediastinal tumorpathologic anatomypericarditis

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