Bronchogenic cyst masquerading as malignant pericardial effusion with tamponade
10.12701/yujm.2017.34.1.91
- Author:
Kang Un CHOI
1
;
Byung Jun KIM
;
Hong Ju KIM
;
Jang Won SON
;
Jong Seon PARK
;
Dong Gu SHIN
;
Young Jo KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. gubjae@yu.ac.kr
- Publication Type:Case Report
- Keywords:
Bronchogenic cyst;
Pericarditis;
CA19-9;
CEA;
Cardiac tamponade
- MeSH:
Bronchogenic Cyst;
Carcinoembryonic Antigen;
Cardiac Tamponade;
Exudates and Transudates;
Female;
Humans;
Mediastinal Cyst;
Pericardial Effusion;
Pericardial Fluid;
Pericarditis;
Young Adult
- From:Yeungnam University Journal of Medicine
2017;34(1):91-95
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on a rare case involving a 23-year-old female patient with mediastinal cystic mass complicated with acute pericarditis and cardiac tamponade. Pericardial fluid demonstrated lymphocyte-predominant exudate and the level of carcinoembryonic antigen (CEA) was unexpectedly elevated. Successive aspiration of mediastinal cystic mass revealed a very high level of CEA (>100,000 U/mL) and carbohydrate antigen 19-9 (>15,000 ng/mL). This patient was clinically diagnosed as an infected bronchogenic cyst complicated with pericarditis and cardiac tamponade. The treatment resulted in alleviation of her symptoms.
