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Yeungnam Univ J Med > Volume 34(1); 2017 > Article
Yeungnam University Journal of Medicine 2017;34(1):91-95.
DOI: https://doi.org/10.12701/yujm.2017.34.1.91    Published online June 30, 2017.
Bronchogenic cyst masquerading as malignant pericardial effusion with tamponade
Kang Un Choi, Byung Jun Kim, Hong Ju Kim, Jang Won Son, Jong Seon Park, Dong Gu Shin, Young Jo Kim
Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. gubjae@yu.ac.kr
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.
Key Words: Bronchogenic cyst, Pericarditis, CA19-9, CEA, Cardiac tamponade
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