COELOMIC CYST OF THE PERICARDIUM. A CLINICAL CASE

Congenital abnormalities of the pericardium are a rare group of diseases. Coelomic pericardial cyst is often asymptomatic and does not give complications. Symptoms may occur if the cyst increases in size, can compress anatomical structures, or can be infected or ruptured. The clinical diagnosis of pericardial cysts is difficult to make because the patient's symptoms are nonspecific, and have association with concomitant pathology. The diagnostic examination often begins with chest radiography or transthoracic echocardiography. Computed tomography and magnetic resonance imaging of the chest are often required to visualize the entire pericardium and characterize the pathological process with details. Treatment depends on the presence and/or severity of symptoms. Active monitoring is preferable for asymptomatic patient with a confirmed diagnosis of coelomic pericardial cyst, if this patient is not in risk group of life-threatening complications, and disturbances of the function of organs and systems. Our clinical case of an asymptomatic patient with a coelomic cyst of the pericardium is intended to draw the attention to the algorithm of examination and observation of such patients. The case is discussed with regard to personalized medicine and clinical recommendations.