{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T12:13:20Z","timestamp":1764936800501},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>A previously healthy 3-year-old boy presented to the emergency department with abdominal pain, fever, and emesis. Laboratory and radiologic evaluation for causes of acute abdomen were negative; however, review of the abdominal x-ray demonstrated cardiomegaly with the subsequent diagnosis of pericardial cyst by echocardiogram and computed tomography. The patient underwent surgical decompression and attempted removal of the cystic structure revealing that the cyst originated from the epicardium. His abdominal pain and fever resolved postoperatively and he completed a 3-week course of ceftriaxone for treatment of <jats:italic toggle=\"yes\">Propionibacterium acnes<\/jats:italic> infected congenital epicardial cyst. Emergency department physicians must maintain a broad differential in patients with symptoms of acute abdomen to prevent complications from serious cardiac or pulmonary diseases that present with symptoms of referred abdominal pain.<\/jats:p>","DOI":"10.1097\/pec.0000000000000538","type":"journal-article","created":{"date-parts":[[2015,10,14]],"date-time":"2015-10-14T13:00:26Z","timestamp":1444827626000},"page":"868-871","source":"Crossref","is-referenced-by-count":5,"title":["Infected Congenital Epicardial Cyst Presenting as Acute Abdomen"],"prefix":"10.1097","volume":"32","author":[{"given":"Timothy","family":"Dribin","sequence":"first","affiliation":[{"name":"From the *Department of Emergency Medicine, Boston Children's Hospital, Boston, MA; \u2020Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital; \u2021Department of Pathology, Seattle Children's Hospital; and \u00a7Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Files","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Boston Children's Hospital, Boston, MA; \u2020Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital; \u2021Department of Pathology, Seattle Children's Hospital; and \u00a7Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin R.","family":"Rudzinski","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Boston Children's Hospital, Boston, MA; \u2020Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital; \u2021Department of Pathology, Seattle Children's Hospital; and \u00a7Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Kaplan","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Boston Children's Hospital, Boston, MA; \u2020Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital; \u2021Department of Pathology, Seattle Children's Hospital; and \u00a7Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly P.","family":"Stone","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Boston Children's Hospital, Boston, MA; \u2020Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital; \u2021Department of Pathology, Seattle Children's Hospital; and \u00a7Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20230930","first-page":"313","article-title":"Epicardial mesothelial cyst located over the left anterior descending coronary artery","volume":"31","year":"2004","journal-title":"Tex Heart Inst J"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"138","DOI":"10.5090\/kjtcs.2013.46.2.138","article-title":"Epicardial cyst originating from right ventricle","volume":"46","year":"2013","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1017\/S1047951101001056","article-title":"An epicardial cyst in a child","volume":"11","year":"2001","journal-title":"Cardiol Young"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1053\/jpsu.2002.35401","article-title":"Purulent pericarditis in childhood: ten years of experience","volume":"37","year":"2002","journal-title":"J Pediatr Surg"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1007\/s003810050248","article-title":"Propionibacterium [correction of Proprionibacterium] acnes infections of cerebrospinal fluid shunts","volume":"14","year":"1998","journal-title":"Childs Nerv Syst"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.1086\/588477","article-title":"Propionibacterium acnes postoperative shoulder arthritis: an emerging clinical entity","volume":"46","year":"2008","journal-title":"Clin Infect Dis"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1080\/00365540701367793","article-title":"Propionibacterium endocarditis: a case series from the International Collaboration on Endocarditis Merged Database and Prospective Cohort Study","volume":"39","year":"2007","journal-title":"Scand J Infect Dis"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"297","DOI":"10.2143\/AC.64.3.2038013","article-title":"Infectious pericarditis: an experience spanning a decade","volume":"64","year":"2009","journal-title":"Acta Cardiol"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1532\/HSF98.20111117","article-title":"Epicardial cysts: report of two rare cases","volume":"15","year":"2012","journal-title":"Heart Surg Forum"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201612000-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:10:25Z","timestamp":1696061425000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201612000-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000538","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}