Pericardial Cyst: A Case Report

Yıl 2015, Cilt: 12 Sayı: 2, 288 - 291, 30.08.2015

Muharrem Çakmak , Mehmet Nail Kandemir

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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