Perikardial Kist: Nadir Bir Olgu Bildirisi

Abstract

Perikardiyal kistler, Tüm mediastinal lezyonlar arasında %6-7 sıklıkla görülen benign konjenital lezyonlardır (1). Sıklıkla asemptomatik olup, anterior mediastende kardiofrenik açıya yerleşen ince duvarlı seröz sıvı içeriği olan ve çoğunlukla perikard ile ilişkisi bulunmayan lezyonlardır. Biz de kronik öksürük şikayeti ile kliniğimize başvuran akciğer grafisinde sol diafragmada çift kontur görünümüne neden olan Toraks Bilgisayarlı Tomografisinde (BT) ve Manyetik Rezonans Görüntüleme (MR) ile lipomdan ayırt edilemeyen ancak Diffüzyon MR ilea perikardial kist tanısı alan olgumuzu sunmayı amaçladık.

Keywords

• perikardial kist, kronik öksürük

Abstract

Pericardial cysts are benign congenital lesions which account for 6-7% of the mediastinal masses. (1) They are usually asymptomatic cysts with thin layered serous fluid localized in cardiophrenic angle in anterior mediasten and not connected to pericardium. Pericardial cysts are mostly seen in right anterior cardiophrenic angle and they lack of internal septation and contrast enhancement. Their attenuation on Computed Tomography (CT) are similiar to fluid and their images are hyperintense on T2 weighted Magnetic Resonance Images (MRI) and hypointense on T1 weighted Magnetic Resonance. We presented a pericardial cyst case which was failed to differantiate from lipoma on BT and MRI but diagnosed in diffusion MRI.

Keywords

• pericardial cyst, chronic cough

References

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