Pericarditis and pulmonary artery stenosis due to an extragonadal non-seminomatous germ cell tumor: case report and review of the literature

Matthew A Armstrong; Gary F Pollock

doi:10.1016/j.jemermed.2013.05.020

Pericarditis and pulmonary artery stenosis due to an extragonadal non-seminomatous germ cell tumor: case report and review of the literature

J Emerg Med. 2013 Nov;45(5):e157-60. doi: 10.1016/j.jemermed.2013.05.020. Epub 2013 Jul 26.

Authors

Matthew A Armstrong¹, Gary F Pollock

Affiliation

¹ Staff Emergency Physician, Captain USAF, Mike O'Callaghan Federal Medical Center, Nellis Air Force Base, Nevada.

PMID: 23890690
DOI: 10.1016/j.jemermed.2013.05.020

Abstract

Background: Chest pain is a common complaint in the Emergency Department that rarely can be attributed to anterior mediastinal masses.

Objectives: We review the differential diagnosis for anterior mediastinal masses and their potential consequences.

Case report: An unusual case of chest pain in a young male patient is presented that is caused by an anterior mediastinal mass associated with pericarditis and right ventricular outflow obstruction.

Conclusion: Pericarditis and right ventricular outflow obstruction are potential complications of anterior mediastinal non-seminomatous germ cell tumors.

Keywords: extragonadal; germ cell tumor; mediastinal mass; pericarditis.

Published by Elsevier Inc.

Publication types

Case Reports
Review

MeSH terms

Adult
Chest Pain / etiology
Constriction, Pathologic / etiology
Humans
Male
Mediastinal Neoplasms / complications*
Neoplasms, Germ Cell and Embryonal / complications*
Pericarditis / etiology*
Pulmonary Artery / pathology*
Testicular Neoplasms

Supplementary concepts

Nonseminomatous germ cell tumor