Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
Introduction: Malignant pericardial effusion is the accumulation of liquid in the pericardial space secondary to advanced stage neoplasia, becoming in an indicator of bad prognosis. Malignant tumors that are most often related to this entity are the ones from pulmonary, mammary, and hematolymph...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | ES |
| Publicado: |
Universidad Autonoma de Bucaramanga
2017
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/c9326057c24c405c83ecfb46ae37dbd8 |
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| Sumario: | Introduction: Malignant pericardial effusion is the
accumulation of liquid in the pericardial space secondary to
advanced stage neoplasia, becoming in an indicator of bad
prognosis. Malignant tumors that are most often related to
this entity are the ones from pulmonary, mammary, and
hematolymphoid origin. Clinically, it may present imminent
signs of cardiac tamponade and hemodynamic instability, so
that it merits an early diagnosis and management with
emerging decompression maneuvers. Objective: This
article presents a malignant pericardial effusion case, since
this clinical condition implies a diagnostic challenge. Case
presentation and Conclusions: A case of a 63 year old
male patient is presented. He has one month of clinical
evolution characterized by cervical adenopathies, also in the
past fifteen days has been presenting precocious satiety,
nocturnal sweating, sensation of distended abdomen, and
functional class deterioration to having dyspnea during small
physical efforts. This was the reason why he went to the
emergency room. During the medical observation, the
patient quickly deteriorates to hemodynamic instability,
refractory to treatment. Some imaging studies were
performed, which show severe pericardial effusion so a
decompressive pericardiocentesis and a multidisciplinary
integral management were performed. |
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