Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism

Cardiac tamponade is a medical emergency and must be managed promptly, and reaching a diagnosis is imperative to prevent recurrence. Herein, we present a case of a young female patient that presented with progressive shortness of breath and abdominal distension and was found to have cardiac tamponad...

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Autores principales:	Moaaz Baghal, Viralkumar Amrutiya, Bhoomi Patel, Rutwik Patel, Jonathan Hernandez, Mohamed Ahmed, Abraham Lo, Mark Gabelman
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/2790800213ce4670a2bcc90f8bad8680
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spelling	oai:doaj.org-article:2790800213ce4670a2bcc90f8bad86802021-11-22T01:09:41ZPericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism2090-641210.1155/2021/2666601https://doaj.org/article/2790800213ce4670a2bcc90f8bad86802021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2666601https://doaj.org/toc/2090-6412Cardiac tamponade is a medical emergency and must be managed promptly, and reaching a diagnosis is imperative to prevent recurrence. Herein, we present a case of a young female patient that presented with progressive shortness of breath and abdominal distension and was found to have cardiac tamponade with the finding of elevation of a blood tumor marker, CA-125, in the setting of nonadherence to thyroid replacement therapy. She was managed by surgical pericardial window and abdominal paracentesis, with replacement of thyroid hormones leading to resolution of the tamponade and ascites. CA-125 elevation associated with cardiac tamponade and myxedema ascites due to hypothyroidism is very rare, and we aim to shed light on the importance of having a broad differential when approaching cardiac tamponade and understand the association between CA-125 and hypothyroidism.Moaaz BaghalViralkumar AmrutiyaBhoomi PatelRutwik PatelJonathan HernandezMohamed AhmedAbraham LoMark GabelmanHindawi LimitedarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCase Reports in Cardiology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Moaaz Baghal Viralkumar Amrutiya Bhoomi Patel Rutwik Patel Jonathan Hernandez Mohamed Ahmed Abraham Lo Mark Gabelman Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
description	Cardiac tamponade is a medical emergency and must be managed promptly, and reaching a diagnosis is imperative to prevent recurrence. Herein, we present a case of a young female patient that presented with progressive shortness of breath and abdominal distension and was found to have cardiac tamponade with the finding of elevation of a blood tumor marker, CA-125, in the setting of nonadherence to thyroid replacement therapy. She was managed by surgical pericardial window and abdominal paracentesis, with replacement of thyroid hormones leading to resolution of the tamponade and ascites. CA-125 elevation associated with cardiac tamponade and myxedema ascites due to hypothyroidism is very rare, and we aim to shed light on the importance of having a broad differential when approaching cardiac tamponade and understand the association between CA-125 and hypothyroidism.
format	article
author	Moaaz Baghal Viralkumar Amrutiya Bhoomi Patel Rutwik Patel Jonathan Hernandez Mohamed Ahmed Abraham Lo Mark Gabelman
author_facet	Moaaz Baghal Viralkumar Amrutiya Bhoomi Patel Rutwik Patel Jonathan Hernandez Mohamed Ahmed Abraham Lo Mark Gabelman
author_sort	Moaaz Baghal
title	Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
title_short	Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
title_full	Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
title_fullStr	Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
title_full_unstemmed	Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
title_sort	pericardial tamponade and elevated serum ca-125 level in inadequately treated hypothyroidism
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/2790800213ce4670a2bcc90f8bad8680
work_keys_str_mv	AT moaazbaghal pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT viralkumaramrutiya pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT bhoomipatel pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT rutwikpatel pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT jonathanhernandez pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT mohamedahmed pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT abrahamlo pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism AT markgabelman pericardialtamponadeandelevatedserumca125levelininadequatelytreatedhypothyroidism
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Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism

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