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Saitama Medical University Hospital

Saitama Medical University

Cystic structures within the pericardial cavity are rare. They are divided into epicardial and pericardial variants. Pericardial and epicardial cysts rarely cause symptoms. This report describes a case of epicardial cyst with acute cardiac tamponade in a 2-year-old boy with no previous cardiac history who was transferred to our hospital because of hemodynamic instability. Emergency drainage of the pericardial effusion and complete excision of the cyst were performed through a median full sternotomy.

Giant epicardial cyst presenting as acute cardiac tamponade in a 2-year-old boy.

The International Liaison Committee on Resuscitation (ILCOR) published Consensus 2015 in October 2015. Thereafter, the Japanese version of neonatal cardiopulmonary resuscitation programs was revised. Prior to the revision, we re-conducted questionnaire surveys in three types of medical facilities in January 2015.

Status of and problems concerning neonatal resuscitation in Japan in 2015.

Abdominal wall hypoplasia is a widely known clinical finding of genetic disorders such as the prune belly syndrome. On the other hand, there are few cases of abdominal wall muscle hypoplasia associated with fetal ascites due to fetal hydrops caused by fetal anemia have been reported. We report a case of fetal chylous ascites without anemia, resulting in abdominal wall muscle hypoplasia and flabby skin. At 17 weeks of gestation, fetal ascites was first detected and deteriorated without anemia. At 28, 33 and 36 weeks of gestation, paracentesis was performed three times because of cardiovascular impairment, confirming chylous ascites. After birth, the baby exhibited a flabby skin and lateral abdominal wall hypoplasia, resulting in difficulties in maintaining a sitting posture at 10 months of age. The genetic test using the TruSight One Sequencing Panels found no genetic variants. This case suggests that abdominal wall hypoplasia could be associated with fetal ascites without anemia.

ArticleTotal : 2	Year
Publication title	2022
Publication title	2023

Article	Year
Giant epicardial cyst presenting as acute cardiac tamponade in a 2-year-old boy. Asian cardiovascular & thoracic annals\| PubMed ID: 25593209	2015
Status of and problems concerning neonatal resuscitation in Japan in 2015. Pediatrics international : official journal of the Japan Pediatric Society\| PubMed ID: 27400776	2017
Hypoplasia of abdominal wall muscles following massive fetal persistent chylous ascites without anemia. Oxford medical case reports\| PubMed ID: 34158955	2021

Hayato Sakurai

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