Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

07 April 2008

Constrictive pericarditis associated with a mass mimicking pericardial cyst

Hasan Ekim, Mustafa Tuncer, Halil Basel, Yilmaz Gunes

Am J Case Rep 2008; 9:204-207 :: ID: 851969

Abstract

Background: Constrictive pericarditis can be defi ned as a syndrome resulting from compression of the heart caused by rigid, thickened, and frequently fused pericardial membranes, and represents the end stage of any inflammatory process involving the pericardium. We present a rare case of chronic calcified constrictive pericarditis associated with a calcified mass mimicking pericardial cyst.
Case Report: A 55-year-old man was admitted to our hospital due to shortness of breath, cough, chest pain, abdominal swelling, and edema of lower extremities. Computed tomography (CT) demonstrated a thickened calcified pericardium associated with a pericardial mass with a thick calcified shell (8x6x4.5 cm) compressing the right ventricle. Results of thoracic magnetic resonance imaging (MRI) were in compliance with the CT results. Based on these findings, a diagnosis of chronic calcified constrictive pericarditis associated with a pericardial cyst was made. At the time of surgery, extensive pericardial calcifi cations and a cystic mass containing only hematoma were found. The calcified pericardial sac was decorticated laterally at a level just above the course of the phrenic nerve on both sides. A pathological diagnosis of idiopathic constrictive pericarditis was made. The postoperative recovery was uneventful. Ten days after the operation, he was discharged in good condition.
Conclusions: Presentation of constrictive pericarditis associated with a cystic mass consisted of hematoma and compressing the right ventricle is extremely rare but does occur. It should be operated on with CPB on standby, especially if erosion of the right ventricle has suspected.

Keywords: Constrictive Pericarditis, Pericardial Mass, calcification

Add Comment 0 Comments

In Press

12 Feb 2024 : Case report  Germany

Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...

Am J Case Rep In Press; DOI: 10.12659/AJCR.942870  

0:00

12 Feb 2024 : Case report  USA

Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PET

Am J Case Rep In Press; DOI: 10.12659/AJCR.941169  

0:00

12 Feb 2024 : Case report  USA

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942839  

13 Feb 2024 : Case report  Bahrain

Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma

Am J Case Rep In Press; DOI: 10.12659/AJCR.943519  

Most Viewed Current Articles

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

05 Mar 2022 : Case report  Brazil

Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...

DOI :10.12659/AJCR.935336

Am J Case Rep 2022; 23:e935336

02 Apr 2022 : Case report  Saudi Arabia

Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...

DOI :10.12659/AJCR.935743

Am J Case Rep 2022; 23:e935743

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923