RESUMO
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.
Assuntos
Neoplasias do Mediastino/complicações , Neoplasias Embrionárias de Células Germinativas/complicações , Pericardite/etiologia , Artéria Pulmonar/patologia , Adulto , Dor no Peito/etiologia , Constrição Patológica/etiologia , Humanos , Masculino , Neoplasias TesticularesRESUMO
Salivary gland disorders are uncommon in the emergency department setting. Given the vast differential that spans infectious, autoimmune, neoplastic, and metabolic processes, they can pose a diagnostic challenge even to skilled clinicians. There is a paucity of evidence-based data regarding the management of these disorders with frequent incongruence between specific sources. Although by no means exhaustive or absolute, this article reconciles existing literature and serves as a concise and informative guide to salivary gland disorders encountered by the emergency care practitioner.
