{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T08:11:40Z","timestamp":1765354300516,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 25\u2005-year-old Egyptian man presented to our unit for the evaluation of a large pericardial effusion. At 1\u2005month before presentation he suffered from daily bouts of fever. Chest x-ray revealed cardiomegaly, echocardiography showed large pericardial effusion and multiple pericardial masses. Needle pericardiocentesis revealed a bloody exudate with no malignant cells. Chest CT showed a well-circumscribed anterior mediastinal cystic mass with a central fat component and foci of calcification. MRI of the chest similarly showed no intracardiac extension. A cystic mass 7\u00d79\u2005cm was removed via a median sternotomy with uneventful postoperative course. Pathological evaluation revealed a benign cystic teratoma and a thymic cyst. Most cystic teratomas are accidentally discovered, large ones can cause symptoms through the compression of mediastinal structures or rupture in pericardial sac.<\/jats:p>","DOI":"10.1136\/bcr-2012-006877","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T18:57:43Z","timestamp":1350673063000},"page":"bcr2012006877","source":"Crossref","is-referenced-by-count":3,"title":["Massive pericardial effusion and multiple pericardial masses due to an anterior mediastinal teratoma rupturing in pericardial sac"],"prefix":"10.1136","volume":"2012","author":[{"given":"Mohammed Abd Elalim","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Kasr Elaini Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragai","family":"Fouda","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kasr Elaini Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussam","family":"Ammar","sequence":"additional","affiliation":[{"name":"University of Texas, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samy M","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Kasr Elaini Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,19]]},"reference":[{"key":"2025082722412887000_2012.oct19_1.bcr2012006877.1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semdp.2006.02.008"},{"key":"2025082722412887000_2012.oct19_1.bcr2012006877.2","doi-asserted-by":"crossref","first-page":"S79","DOI":"10.1148\/radiographics.22.suppl_1.g02oc09s79","article-title":"Imaging of cystic masses of the mediastinum","volume":"22","author":"Jeung","year":"2002","journal-title":"RadioGraphics"},{"key":"2025082722412887000_2012.oct19_1.bcr2012006877.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.112.2.511"},{"key":"2025082722412887000_2012.oct19_1.bcr2012006877.4","first-page":"100","article-title":"Computed tomography of anterior mediastinal masses","volume":"6","author":"Lau","year":"2003","journal-title":"JHK Coll Radiol"},{"key":"2025082722412887000_2012.oct19_1.bcr2012006877.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0748-7983(97)80145-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:41:37Z","timestamp":1756359697000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,19]]},"references-count":5,"alternative-id":["10.1136\/bcr-2012-006877"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006877","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,10,19]]}}}