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Vol. 25. Issue 8.
Pages 331-333 (November - December 1989)
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Vol. 25. Issue 8.
Pages 331-333 (November - December 1989)
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Falso derrame pleural: presentación atípica de un quiste pericárdico
False pleural effusion: atypical presentation of a pericardial cyst
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M. Castanedo Allende, J.L. Bravo Bravo, A. Roig Verge
Sección de Cirugía Torácica Hospital N. Sra. de Covadonga. Oviedo
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La utilización de la TAC torácica, ultrasonografía y punción transparietal puede ser suficiente para el diagnóstico y tratamiento del quiste pericárdico de presentación típica. Sin embargo cuando existen desviaciones morfológicas, topográficas, densitométricas, etc. su diagnóstico puede entrañar serias dificultades, requiriendo la práctica de toracotomía para conferirle fiabilidad.

Los autores aportan un caso de presentación excepcional por sus manifestaciones radiológicas y clínicas. Se realiza revisión bibliográfica y actualización de los criterios diagnósticos y terapéuticos.

The use of thoracic computed tomography, ultrasonography and transparietal puncture may suffice for the diagnosis and therapy of the pericardial cyst with typical presentation. However, when there are morphological, topographical, densitometrical or other deviations from the rule, its diagnosis may entail serious difficulties, requiring thoracotomy to make it on a reliable basis.

The authors report a case with exceptional presentation because of the clinical and radiological features. They review the literature and update the diagnostic and therapeutic criteria.

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Bibliografía
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Copyright © 1989. Sociedad Española de Neumología y Cirugía Torácica
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