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Quiste pleuropericárdico: localización y presentación inusuales
Pleuropericardial Cyst: Uncommon Location and Presentation
Ruth Yeste Martín
, Luis Javier Navarro Marín, Carmen Herrero Rodríguez
Corresponding author
Servicio de Medicina Interna, Complejo Hospitalario de Jaén, Jaén, España
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Tumoración en mediastino anterior con áreas necrosadas, como remanente embriológico infectado.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Varón de 51 años con antecedentes personales de infección por virus de la hepatitis C, exfumador, que presenta cuadro de fiebre acompañada de artralgias y pérdida de peso. Tras anamnesis y exploración física, que no aportaron ningún dato relevante, solicitamos exploraciones complementarias: hemograma, bioquímica, serologías virales, autoinmunidad, prueba de Mantoux y hemocultivos, destacando proteína C reactiva 238<span class="elsevierStyleHsp" style=""></span>mg/l. Se realizaron pruebas de imagen, observando en la radiografía de tórax, imagen de densidad agua hiliar derecha y en tomografía axial computarizada (TAC) torácica, tumoración mediastínica anterior de 9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>7<span class="elsevierStyleHsp" style=""></span>cm, compatible con remanente embriológico infectado (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). El paciente fue diagnosticado de quiste pleuropericárdico infectado, y se inició tratamiento con antibioterapia, teniendo buena evolución, por lo que fue dado de alta domiciliaria en espera de cita para extracción quirúrgica del quiste.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">El quiste pleuropericárdico es una lesión poco común, con una incidencia de uno por cada 100.000 casos, normalmente localizado en mediastino medio, que suele ser un hallazgo incidental y de curso asintomático<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>, pero que puede complicarse por compresión de estructuras adyacentes<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>, infección o hemorragia del propio quiste<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. El tratamiento es conservador, reservándose el tratamiento quirúrgico para casos sintomáticos. En el caso que exponemos, tanto la forma de presentación (infección) como la localización (anterior), son inusuales.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1003 "Ancho" => 1800 "Tamanyo" => 157639 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TAC de tórax. Tumoración en mediastino anterior con áreas necrosadas, como remanente embriológico infectado.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quiste pericárdico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Gervilla Caño" 1 => "J. Soler González" 2 => "J. Melé Olivé" 3 => "P. Domingo Salvany" 4 => "E. Mayolas Saura" 5 => "C. Oriol Zerbe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Semergen" "fecha" => "2010" "volumen" => "36" "paginaInicial" => "174" "paginaFinal" => "176" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleuro pericardial cyst" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Adil" 1 => "S. Hashamani" 2 => "G.U. Khan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2010/JCPSP.685686" "Revista" => array:6 [ "tituloSerie" => "J Coll Physicians Surg Pak" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "685" "paginaFinal" => "686" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20943113" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005300000004/v1_201704070048/S0300289616302174/v1_201704070048/es/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005300000004/v1_201704070048/S0300289616302174/v1_201704070048/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289616302174?idApp=UINPBA00003Z" ]
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