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Pericardial cyst: an incidental finding

D C Jarzabkowski1, D B Braunstein

  • 1Chicago College of Osteopathic Medicine of Midwestern University (CCOM), Downers Grove, Ill., USA.

The Journal of the American Osteopathic Association
|September 25, 1998
PubMed
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Pericardial cysts are rare mediastinal masses, typically found on the right side of the heart. This case highlights a large pericardial cyst presenting atypically on the left side, causing a cough.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Radiology

Background:

  • Pericardial cysts are uncommon congenital anomalies of the mediastinum, with an incidence of approximately 1 in 100,000.
  • These cysts are typically located along the right cardiac border and are often asymptomatic.
  • When symptomatic, patients may present with atypical chest pain.

Observation:

  • A 37-year-old male presented with a persistent nonproductive cough.
  • Initial chest x-ray revealed a large, echolucent, unilocular mass.
  • The mass was unusually located along the left border of the heart.

Findings:

  • Computed tomography (CT) and transthoracic echocardiography confirmed the diagnosis of a pericardial cyst.
  • The imaging characteristics included a well-defined, fluid-filled mass.

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  • Diagnostic imaging was crucial for differentiating the cyst from other mediastinal pathologies.

    • Implications:

    • This case underscores the importance of considering atypical presentations of common conditions.
    • Diagnostic imaging modalities like CT and echocardiography are essential for accurate pericardial cyst diagnosis.
    • Understanding the variable location of pericardial cysts aids in clinical diagnosis and management.