DOI: 10.36347/sjmcr.2015.v03i12.008

Pages: 1167-1171

Pericardial cyst is a relatively rare coelomic malformation, often asymptomatic, usually presenting as a round opacity in the right cardio phrenic angle .We report a case of pleuro -pericardial cyst with an unusual presentation in a 52 year-old woman who accused chest pain .The chest radiograph showed an elevation of the right diaphragmatic dome .The chest scan showed a cystic fluid in the right cardiophrenic right angle. Thoracoscopy was indicated, finding a cystic formation which histological examination revealed a pleuro -pericardial cyst. The course was marked, five weeks later, by the occurrence of mediastinal lymph node tuberculosis. An antibacillary treatment was prescribed with good clinical and radiogical evolution .The pleuro -pericardial cyst is a rare disease. Surgery is not always recommended.