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Clinical Image
Migrating pleuropericardial cyst: A case report
Quiste pleuropericárdico migratorio: a propósito de un caso
Lledó Cabedo-Esteve, Carlos Pérez-Serrano, Ivan Vollmer
Corresponding author
vollmer@clinic.cat

Corresponding author.
Hospital Clínic, Barcelona, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#8211;F&#41; Migrating pleuropericardial cyst&#58; A&#41; MRI T1-enhanced axial image showing hypointense lesion &#40;asterisk&#41; in the left fissure&#46; B&#41; MRI T2-enhanced axial image showing hyperintense lesion &#40;asterisk&#41; in left fissure extending to pericardium &#40;arrow&#41;&#46; C&#41; CT axial image obtained in supine position revealing a lesion of fluid density &#40;asterisk&#41;&#46; D&#41; CT axial image obtained in prone position showing a lesion of fluid density &#40;asterisk&#41; with anterior shift compared to in the supine position&#46; E&#41; CT axial image obtained in supine position in lung window showing lesion &#40;asterisk&#41; in&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 39-year-old man who underwent echocardiography because of clinical palpitations&#46; A mass was visualized in the left lateral-apical region and tentatively diagnosed as a pericardial cyst&#46; Magnetic resonance imaging &#40;MRI&#41; was performed showing a fluid collection in the left fissure with a portion in the cardiophrenic angle &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">We decided to expand the study with computed tomography &#40;CT&#41; focusing on the lesion&#44; collecting images in supine and prone decubitus&#46; A fluid collection was observed in the left fissure when the patient was supine&#44; in the paracardiac region when he was in right lateral decubitus&#44; and in the anterior region in prone decubitus &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C and F&#41;&#46; Part of the collection remained in the cardiophrenic angle in all scans&#44; suggesting a diagnosis of migratory pleuropericardial cyst&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Pleuropericardial cyst is a rare entity that originates from an erroneous division of the coelom&#44; usually in the right anterior cardiophrenic angle&#46; If the cysts are pedunculated&#44; they can move around the chest cavity&#44; a phenomenon known as migrating pleuropericardial cyst&#46; Diagnosis is obtained from imaging tests when a cystic chest mass is observed that is dependent on the pericardium and changes position with the patient&#8217;s movement&#44; appearing in the lowest regions due to the force of gravity<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Cabedo-Esteve L&#44; P&#233;rez-Serrano C&#44; Vollmer I&#46; Quiste pleuroperic&#225;rdico migratorio&#58; a prop&#243;sito de un caso&#46; Arch Bronconeumol&#46; 2021&#59;57&#58;648&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#8211;F&#41; Migrating pleuropericardial cyst&#58; A&#41; MRI T1-enhanced axial image showing hypointense lesion &#40;asterisk&#41; in the left fissure&#46; B&#41; MRI T2-enhanced axial image showing hyperintense lesion &#40;asterisk&#41; in left fissure extending to pericardium &#40;arrow&#41;&#46; C&#41; CT axial image obtained in supine position revealing a lesion of fluid density &#40;asterisk&#41;&#46; D&#41; CT axial image obtained in prone position showing a lesion of fluid density &#40;asterisk&#41; with anterior shift compared to in the supine position&#46; E&#41; CT axial image obtained in supine position in lung window showing lesion &#40;asterisk&#41; in&#46;</p>"
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                    0 => array:2 [
                      "titulo" => "Best cases from the AIRP migrating pericardial cyst"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;A&#46; Cramer"
                            1 => "H&#46; Mann"
                            2 => "L&#46;J&#46; Layfeld"
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                        "tituloSerie" => "Radiographics&#46;"
                        "fecha" => "2014"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Migrating pleural mesothelial cyst"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;J&#46; Walker"
                            1 => "S&#46;C&#46; Sieber"
                            2 => "S&#46; Boorboor"
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                      "doi" => "10.1016/S0003-4975(03)01416-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg&#46;"
                        "fecha" => "2004"
                        "volumen" => "77"
                        "paginaInicial" => "701"
                        "paginaFinal" => "702"
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Article information
ISSN: 15792129
Original language: English
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