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: José Mauricio Chilatra-Fonseca, William Javier Morales-Camacho, Jessica Estefanía Plata-Ortiz, Yisela Patricia Gómez-Mancilla, Sergio Alberto Villabona-Rosales
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Publicado: Universidad Autonoma de Bucaramanga 2017
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spelling oai:doaj.org-article:c9326057c24c405c83ecfb46ae37dbd82021-12-02T11:03:34ZMalignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report 0123-70472382-4603https://doaj.org/article/c9326057c24c405c83ecfb46ae37dbd82017-04-01T00:00:00Zhttp://revistas.unab.edu.co/index.php?journal=medunab&page=article&op=view&path%5B%5D=2298&path%5B%5D=2343https://doaj.org/toc/0123-7047https://doaj.org/toc/2382-4603Introduction: 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. José Mauricio Chilatra-FonsecaWilliam Javier Morales-CamachoJessica Estefanía Plata-OrtizYisela Patricia Gómez-MancillaSergio Alberto Villabona-RosalesUniversidad Autonoma de BucaramangaarticleCardiac TamponadePericardial EffusionLung NeoplasmsNeoplasm InvasivenessPericardiocentesisMedicineRESMedUNAB, Vol 20, Iss 1, Pp 63-69 (2017)
institution DOAJ
collection DOAJ
language ES
topic Cardiac Tamponade
Pericardial Effusion
Lung Neoplasms
Neoplasm Invasiveness
Pericardiocentesis
Medicine
R
spellingShingle Cardiac Tamponade
Pericardial Effusion
Lung Neoplasms
Neoplasm Invasiveness
Pericardiocentesis
Medicine
R
José Mauricio Chilatra-Fonseca
William Javier Morales-Camacho
Jessica Estefanía Plata-Ortiz
Yisela Patricia Gómez-Mancilla
Sergio Alberto Villabona-Rosales
Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
description 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.
format article
author José Mauricio Chilatra-Fonseca
William Javier Morales-Camacho
Jessica Estefanía Plata-Ortiz
Yisela Patricia Gómez-Mancilla
Sergio Alberto Villabona-Rosales
author_facet José Mauricio Chilatra-Fonseca
William Javier Morales-Camacho
Jessica Estefanía Plata-Ortiz
Yisela Patricia Gómez-Mancilla
Sergio Alberto Villabona-Rosales
author_sort José Mauricio Chilatra-Fonseca
title Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
title_short Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
title_full Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
title_fullStr Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
title_full_unstemmed Malignant Pericardial Effusion Secondary to Lung Adenocarcinoma: Case Report
title_sort malignant pericardial effusion secondary to lung adenocarcinoma: case report
publisher Universidad Autonoma de Bucaramanga
publishDate 2017
url https://doaj.org/article/c9326057c24c405c83ecfb46ae37dbd8
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