Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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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)
  • 투고 : 2015.09.30
  • 심사 : 2015.10.16
  • 발행 : 2017.06.30
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초록

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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참고문헌

  1. Marshall G, Cheah C, Lenzo N. Bronchogenic cyst with multiple complications. Biomed Imaging Interv J 2007;3:e42.
  2. Koh KK, Kim EJ, Cho CH, Choi MJ, Cho SK, Kim SS, et al. Adenosine deaminase and carcinoembryonic antigen in pericardial effusion diagnosis, especially in suspected tuberculous pericarditis. Circulation 1994;89:2728-35. https://doi.org/10.1161/01.CIR.89.6.2728
  3. Esme H, Eren S, Sezer M, Solak O. Primary mediastinal cysts: clinical evaluation and surgical results of 32 cases. Tex Heart Inst J 2011;38:371-4.
  4. Uyama T, Monden Y, Sumitomo M, Miura K, Kimura S. CEA and CA 19-9 in benign pulmonary or mediastinal cystic lesions. J Surg Oncol 1989;41:103-8. https://doi.org/10.1002/jso.2930410210
  5. Oto T, Ando A, Aoe M, Date H, Shimizu N. Bronchogenic cyst with high serum carcinoembryonic antigen. Jpn J Thorac Cardiovasc Surg 2003;51:34-6. https://doi.org/10.1007/s11748-003-0065-9
  6. Takeda N, Nakajima J, Yamada N, Hiroi Y, Hirata Y, Nagai R. Rupture of bronchogenic cyst in the pericardium with high carbohydrate antigen 19-9 production. Respir Med Extra 2007;3:76-8. https://doi.org/10.1016/j.rmedx.2007.03.002
  7. Yoon YR, Choi J, Lee SM, Kim YJ, Cho HD, Lee JW, et al. Retroperitoneal bronchogenic cyst presenting paraadrenal tumor incidentally detected by (18)F-FDG PET/CT. Nucl Med Mol Imaging 2015;49:69-72. https://doi.org/10.1007/s13139-014-0306-0
  8. Sala E, Coulden R. Incidental bronchogenic cyst detected on F-18 FDG positron emission tomography. Clin Nucl Med 2004; 29:494-5. https://doi.org/10.1097/01.rlu.0000132951.06785.94