rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2024-105-3-163-169rentrad-879Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCASE REPORTSРедкое клиническое наблюдение мигрирующей кисты перикарда, имитирующей осумкованный плевритA Rare Clinical Case of Migrating Pericardial Cyst Mimicking Encysted Pleural Effusionhttps://orcid.org/0000-0002-0251-254XКарповаА. А.KarpovaA. A.

Карпова Анастасия Анатольевна, врач-рентгенолог

Ореховый б-р, 28, Москва, 115682

Anastasia A. Karpova, Radiologist

Orekhovyy bul’var, 28, Moscow, 115682

karpovaaadoc@yandex.ruhttps://orcid.org/0000-0003-1809-6330НикитинП. А.NikitinP. A.

Никитин Павел Алексеевич, к. м. н., заведующий отделением лучевой диагностики, врач-рентгенолог

Ореховый б-р, 28, Москва, 115682

Pavel A. Nikitin, Cand. Med. Sc., Head of Department of Radiation Diagnostics, Radiologist

Orekhovyy bul’var, 28, Moscow, 115682

ФГБУ «Научно-исследовательский институт пульмонологии» Федерального медико-биологического агентства РоссииРоссияResearch Institute of Pulmonology, Federal Medico-Biological Agency of RussiaRussian Federation2024091020241053163169Copyright © Карпова А.А., Никитин П.А., 20242024Карпова А.А., Никитин П.А.Karpova A.A., Nikitin P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/879

Перикардиальные кисты являются редкими доброкачественными новообразованиями, часто обнаруживаемыми случайно при рентгенологических обследованиях. Несмотря на преимущественно бессимптомное течение, они могут вызывать значимые клинические проявления и осложнения. Приведен клинический пример миграции перикардиальной кисты, которая изначально была ошибочно интерпретирована как левосторонний осумкованный междолевой плеврит. Детальная оценка динамики изменений на мультисрезовой компьютерной томографии и последующее хирургическое лечение показали, что новообразование исходит из листков перикарда, изменяя свою локализацию, форму и размеры. Знание феномена миграции перикардиальных кист и использование современных методов визуализации играют ключевую роль в точной диагностике и выборе оптимальной тактики лечения.

Pericardial cysts are rare benign tumors often discovered incidentally during radiological examinations. Despite being predominantly asymptomatic, they can cause significant clinical manifestations and complications. The article describes a case of migrating pericardial cyst that was initially misinterpreted as left-sided encysted pleural effusion. Detailed assessment of dynamic changes on multislice computed tomography and subsequent surgical treatment revealed that the neoplasm originated from the pericardial layers altering its location, shape, and size. Awareness of the phenomenon of pericardial cyst migration and the use of up-to-date imaging techniques play a crucial role in accurate diagnosis and selecting optimal treatment strategies.

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The authors declare that there are no conflicts of interest present.