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  • Title: A large pericardial cyst mimicking a unilateral pleural effusion: A case report.
    Author: Li M, Yang C, Li J, Jia D, Wang Y, Xie W, Wang J.
    Journal: Medicine (Baltimore); 2023 Apr 14; 102(15):e33540. PubMed ID: 37058028.
    Abstract:
    RATIONALE: Pericardial cysts are a rare benign disorder with a variable clinical presentation depending on their size and location. The diagnosis of pericardial cysts is usually based on imaging examinations. The definitive treatment is surgical resection. PATIENT CONCERN: A 36-year-old woman presented with progressive left-sided chest pain and exertional dyspnea, with symptoms resembling pleural effusion. DIAGNOSES: The patient was diagnosed with a pericardial cyst based on imaging and video-assisted thoracoscopic surgery (VATS). INTERVENTION: VATS was performed. OUTCOMES: The patient's symptoms improved after successful removal of the pericardial cyst. Follow-up chest computed tomography exhibited no evidence of recurrence. LESSONS: Clinicians should include pericardial cysts in the differential diagnosis of pseudopleural effusion. VATS is a feasible and safe method to treat symptomatic and large pericardial cysts.
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