Abstract
Congenital pericardial cysts are very rare neoplasms of the middle mediastinum. We
report a case of a young woman who was referred to the surgical department with abdominal
pain. The ultrasound done showed moderate ascites and pleural effusion. Further evaluation
with computed tomography (CT) chest revealed a calcified mass in the pericardium.
Follow-up echocardiography showed an echogenic mass in the pericardium. Magnetic resonance
imaging (MRI) revealed a hyperintense mass with a delayed enhancement of the contents
with features of right heart failure. So, an emergency surgical resection was done
that showed a large hemorrhagic mass with pultaceous material in the pericardial cavity.
The pathological report confirmed the diagnosis of a hemorrhagic pericardial cyst
with organized material.
Keywords
cardiac MRI - hemorrhagic pericardial mass - pericardial cyst
