Advertisement

Mediastinoscopic diagnosis and drainage of pericardial diverticulum —A case report—

  • Kiyoshi Ohno
  • Yoshio Yamasaki
  • Nobutaka Hatanaka
  • Shigetaka Yamamoto
  • Keiji Kuwata
Case Report

Abstract

A 38-year-old male was suspected of having an enlarged pretracheal lymph node on chest CT scan. At mediastinoscopy, a cystic lesion was recognized, and showed repeated dilatation and contraction synchronously with the cardiac beat. Pneumopericardium was demonstrated by intraoperative pneumocystograpy. The cystic lesion was diagnosed as pericardial diverticulum. The diverticular wall was partially resected for drainage of the pericardial fluid. Mediastinoscopy as a less invasive procedure may be useful for the differential diagnosis of adenopathies, and in case of lesion such as a small pericardial diverticulum may allow treatment.

Keywords

Dial Invasive Procedure Cystic Lesion Operative Removal Pericardial Fluid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1).
    1. 31: 2181–2187, 1983Google Scholar
  2. 2).
    Mazer ML: True pericardial diverticulum. Report of a case, with safe operative removal. Am J Roentgenol 55: 27–29, 1946Google Scholar
  3. 3).
    Santoro MJ, Ford LJ, Chen YK, Solinger MR: Odynophagia caused by a pericardial diverticulum. Am J Gastroenterol 88: 943–944, 1993PubMedGoogle Scholar
  4. 4).
    Waterbolk TW, Henkens CAM, Remmert DG, van der Jagt EJ, Postmus PE: Pericardial diverticulum with unusual symptomatology. Eur Resp J 4: 232–234, 1991Google Scholar
  5. 5).
    Davis WC, German JD, Johnson NJ: Pericardial diverticulum causing pulmonary obstruction. Arch Surg 82: 285–289, 1961CrossRefPubMedGoogle Scholar

Copyright information

© The Japanese Society of Thoracic and Cadiovascular Surgery 1998

Authors and Affiliations

  • Kiyoshi Ohno
    • 1
  • Yoshio Yamasaki
    • 1
  • Nobutaka Hatanaka
    • 1
  • Shigetaka Yamamoto
    • 1
  • Keiji Kuwata
    • 1
  1. 1.Department of SurgeryOsaka Kosei-Nenkin HospitalOsakaJapan

Personalised recommendations