Unexplained recurrent pericardial effusion in a young adult male: Think beyond tuberculosis

Pericardial effusion is usually caused by infection, fluid overload states, connective tissue disorders, heart surgery, aortic dissection, and malignancy. When a patient presents with recurrent isolated pericardial effusion accompanied by a nonspecific history and negative laboratory tests, it can p...

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Bibliographic Details
Main Authors: Anshuman Darbari, Barun Kumar, Augustine Jose, Ajit Kumar
Format: article
Language:EN
Published: Wolters Kluwer Medknow Publications 2021
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Online Access:https://doaj.org/article/60571dc0a92a4b2d92f9c56192c322b3
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Summary:Pericardial effusion is usually caused by infection, fluid overload states, connective tissue disorders, heart surgery, aortic dissection, and malignancy. When a patient presents with recurrent isolated pericardial effusion accompanied by a nonspecific history and negative laboratory tests, it can pose a diagnostic dilemma to the clinician. Primary malignant tumors of the pericardium are sporadic, and most primary malignant pericardial tumors are mesotheliomas. We report the case of a young adult male with recurrent pericardial effusion and no specific clinical clues enabling an early diagnosis, which later turned out to be caused by a primary angiosarcoma of the pericardium.