Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Bronchogenic cyst masquerading as malignant pericardial effusion with tamponade

  • Choi, Kang-Un (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Kim, Byung-Jun (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Kim, Hong-Ju (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Son, Jang Won (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Park, Jong-Seon (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Shin, Dong-Gu (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine) ;
  • Kim, Young-Jo (Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine)
  • Received : 2015.09.30
  • Accepted : 2015.10.16
  • Published : 2017.06.30
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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.

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References

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