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Unusual presentation of more common disease/injury
Case report
Utility of cardiac imaging in diagnosis of atypical presentation of cardiac fibroma
  1. Catalina Flores1,
  2. Jaclyn Lundberg1,
  3. Randy R Richardson1,2 and
  4. Deepa Prasad3
  1. 1 Phoenix Regional Campus, School of Medicine, Creighton University, Phoenix, AZ, USA
  2. 2 Department of Radiology, St Joseph’s Hospital and Medical Center, Phoenix, AZ, USA
  3. 3 Department of Child Health, Banner Desert Medical Center/Cardon Children’s Medical Center, Mesa, AZ, USA
  1. Correspondence to Catalina Flores, cnflores1{at}gmail.com

Abstract

Primary cardiac tumours are relatively rare in the paediatric population, with benign tumours accounting for >90% of cases. Cardiac fibromas are rare primary tumours that typically reside in the ventricles. Symptoms are usually the result of blood outflow obstruction or disruption of the cardiac conduction system. They do not typically regress and usually require surgical intervention. In this case, we report a rare finding of a right atrial fibroma in an 18-month-old female who presented with lethargy and vomiting. Chest X-ray revealed an enlarged cardiac silhouette, and follow-up CT showed a 3.7×3.2×3.7 cm hypodense lesion in the right atrium. Cardiac MRI revealed the diagnosis, which was confirmed on pathology.

  • radiology
  • radiology (diagnostics)
  • cancer - see oncology
  • cancer intervention
  • paediatric oncology

https://doi.org/10.1136/bcr-2019-230333

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    Footnotes

    • Contributors CF and JL: drafted the case report, created the figures, and revised the paper. RRR: initiated the collaborative project and revised the paper. DP: obtained patient consent and revised the paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Parental/guardian consent obtained.