Giant diaphragmatic mesothelial cyst

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Incidental finding.

Patient Data

Age: 50 years
Gender: Female

On the right there is a huge sized fluid-containing cyst, in continuity with the mediastinum, surrounded by a thin wall.

 

Post-operative

x-ray

Control x-ray after cyst removal via VATS.

pathology

Histological report.

English translation:

  1. Simple mesothelial cyst

  2. Thymic tissue with fatty involution. No evidence of neoplasia.

Case Discussion

Mesothelial cysts also known as pleuropericardic or pericardial cysts. They consist of connective tissue and a layer of mesothelial cells and usually contain serous fluid. They are almost always attached to the pericardium, and rarely communicate with it.

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