Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion
Lipomas are rare primary heart tumors and may involve the endocardium, myocardium, or pericardium. Signs and symptoms depend on the tumor location and size. The intrapericardial lipoma we report has massive dimensions and mimics a pericardial effusion. A 38-year-old male complained of dyspnea and pr...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/6295634 |
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| author | Fabíola Prado de Morais Noah Romero Nakajima Olívia Félix Marconi Andalécio Pedro de Santana Prudente Guilherme Emílio Ferreira Andrea de Martino Luppi Fernando Costa Mundim Olga Maria Lima Aguiar Juliana Salomão Daud Melo Bruno de Carvalho Dornelas |
| author_facet | Fabíola Prado de Morais Noah Romero Nakajima Olívia Félix Marconi Andalécio Pedro de Santana Prudente Guilherme Emílio Ferreira Andrea de Martino Luppi Fernando Costa Mundim Olga Maria Lima Aguiar Juliana Salomão Daud Melo Bruno de Carvalho Dornelas |
| author_sort | Fabíola Prado de Morais |
| collection | DOAJ |
| description | Lipomas are rare primary heart tumors and may involve the endocardium, myocardium, or pericardium. Signs and symptoms depend on the tumor location and size. The intrapericardial lipoma we report has massive dimensions and mimics a pericardial effusion. A 38-year-old male complained of dyspnea and precordial pain. On physical examination, heart sounds were diminished. The patient had received extensive medication for a clinically suspected pericardial effusion due to heart failure. A voluminous mass resembling fat within the pericardial sac was revealed by transesophageal echocardiography and a computed tomography scan. The tumor was removed successfully by a subxiphoid surgical approach. The diagnosis of a 635 gram intrapericardial lipoma was confirmed by pathological examination. After surgery, the patient recovered well and was completely asymptomatic at a follow-up at 90 days. No medications were being taken since. The diagnosis of a pericardial effusion should be secured by imaging exams to avoid unnecessary medications. Cardiac lipomas can be readily recognized by their typical features on radiologic imaging. The surgical pathology examination confirms the diagnosis and rules out malignancy criteria. |
| format | Article |
| id | doaj-art-f1ec0b87654448e784b26cda0045eede |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-f1ec0b87654448e784b26cda0045eede2025-02-03T05:53:54ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/62956346295634Voluminous Intrapericardial Lipoma Mimicking Pericardial EffusionFabíola Prado de Morais0Noah Romero Nakajima1Olívia Félix Marconi Andalécio2Pedro de Santana Prudente3Guilherme Emílio Ferreira4Andrea de Martino Luppi5Fernando Costa Mundim6Olga Maria Lima Aguiar7Juliana Salomão Daud Melo8Bruno de Carvalho Dornelas9Pathology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilMedical School, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilMedical School, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilRadiology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilRadiology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilRadiology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilPathology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilPathology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilPathology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilPathology Department, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilLipomas are rare primary heart tumors and may involve the endocardium, myocardium, or pericardium. Signs and symptoms depend on the tumor location and size. The intrapericardial lipoma we report has massive dimensions and mimics a pericardial effusion. A 38-year-old male complained of dyspnea and precordial pain. On physical examination, heart sounds were diminished. The patient had received extensive medication for a clinically suspected pericardial effusion due to heart failure. A voluminous mass resembling fat within the pericardial sac was revealed by transesophageal echocardiography and a computed tomography scan. The tumor was removed successfully by a subxiphoid surgical approach. The diagnosis of a 635 gram intrapericardial lipoma was confirmed by pathological examination. After surgery, the patient recovered well and was completely asymptomatic at a follow-up at 90 days. No medications were being taken since. The diagnosis of a pericardial effusion should be secured by imaging exams to avoid unnecessary medications. Cardiac lipomas can be readily recognized by their typical features on radiologic imaging. The surgical pathology examination confirms the diagnosis and rules out malignancy criteria.http://dx.doi.org/10.1155/2020/6295634 |
| spellingShingle | Fabíola Prado de Morais Noah Romero Nakajima Olívia Félix Marconi Andalécio Pedro de Santana Prudente Guilherme Emílio Ferreira Andrea de Martino Luppi Fernando Costa Mundim Olga Maria Lima Aguiar Juliana Salomão Daud Melo Bruno de Carvalho Dornelas Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion Case Reports in Medicine |
| title | Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion |
| title_full | Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion |
| title_fullStr | Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion |
| title_full_unstemmed | Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion |
| title_short | Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion |
| title_sort | voluminous intrapericardial lipoma mimicking pericardial effusion |
| url | http://dx.doi.org/10.1155/2020/6295634 |
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