Pericardial Cyst: A Case Report

Öz

Nonneoplastic mediastnal cysts occupy approximately 20% of primer mediastinal lesions and pericardial cysts account 20-30% of mediastinal cysts. Generally these cysts have congenital origin and become symptomatic in the 4th or 5th decades. Patients with congenital pericardial cysts are usually asymptomatic and cysts are detected incidentally on radiographic examination. They are usually located in right cardiophrenic sinus and less frequently in left costaphrenic sinus, hilus and upper mediasten. . Differential diagnosis of pericardial cyst is complicated. We aimed to present 34 years old female patient that reffered to our clinic with right upper quadrant pain, dyspnea by leaning and chest pain. Patients was misdiagnosed as hydatic cyst or diaphragmatic hernie by magnetic resonance and computed tomography examination however thorcotomy revealed out pericardial cyst. Pericardial cyst should be taken into consideration in the differential diagnosis of mediastinal lesions.

Anahtar Kelimeler

• Pericardial Cyst,Thorax,Computed Tomography,Magnetic Resonance

Perikard kist: Olgu Sunumu

Öz

Nonneoplastik mediastinal kistler primer mediastinal lezyonların yaklaşık %20'sini oluştururken, bunların %20-30'unu perikardial kistler oluşturur. Genelde konjenital olan bu lezyonlar 4 ve 5'inci dekatta semptomatik hale gelirler. Konjenital perikardial kistler genelde asemptomatik olup rutin akciğer grafilerinde tesadüfen saptanırlar. Genellikle kardiofrenik açıda, özellikle sağ tarafta yerleşirler. Nadiren sol kostofrenik açıda, hilusta, arkus düzeyinde ve üst mediastende görülürler. Diğer lezyonlarla sıklıkla karıştırılan bir hastalıktır. Çalışmamızda, sağ üst kadranda ağrı ve öne eğilmeyle artan nefes darlığı, göğüs ağrısı şikâyetiyle kliniğimize müracaat eden, bilgisayarlı toraks tomografisi ve magnetik rezonans görüntülemede hidatik kist ile diyafragma hernisi ayrımı yapılamayan ve torakotomide perikard kisti olduğu görülen 34 yaşında kadın hastayı sunmayı amaçladık. Perikard kisti göğüs ağrısı olan hastalarda ön tanılarda unutulmaması gereken bir patolojidir. 

Anahtar Kelimeler

• Perikard Kisti,Toraks,Bilgisayarlı Tomografi,Magnetik Rezonans

Kaynakça

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