Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause
Joint Authors
Istomin, Valery
Blondheim, David S.
Meisel, Simcha R.
Frimerman, Aaron
Lapidot, Moshe
Rachmilevitch, Ronit
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-28
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
This case report describes a 37-year-old female who was admitted to our Emergency Department because of shortness of breath.
On physical examination, she had dyspnea and tachycardia and blood pressure was 80/50 mmHg with a pulsus paradoxus of 22 mmHg.
Neck veins were distended, heart sounds were distant, and dullness was found on both lung bases.
Her chest X-ray revealed bilateral pleural effusion and cardiomegaly.
On both computed tomography and echocardiography the heart was of normal size and a large pericardial effusion was noted.
The echocardiogram showed signs of impending tamponade, so the patient underwent an emergent pericardiocentesis.
No infectious etiology was found and she was assumed to have viral pericarditis and was treated accordingly.
However, when the pericardial effusion recurred and empirical therapy for tuberculosis failed, a pericardial window was performed.
A typical staining pattern for mesothelioma was found on her pericardial biopsy specimen.
Since no other mesodermal tissue was affected, a diagnosis of primary malignant pericardial mesothelioma was made.
Chemotherapy was not effective and she passed away a year after the diagnosis was made.
This case highlights the difficulties in diagnosing this uncommon disease in patients that present with the common finding of pericardial effusion.
American Psychological Association (APA)
Istomin, Valery& Blondheim, David S.& Meisel, Simcha R.& Frimerman, Aaron& Lapidot, Moshe& Rachmilevitch, Ronit. 2016. Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101116
Modern Language Association (MLA)
Istomin, Valery…[et al.]. Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause. Case Reports in Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101116
American Medical Association (AMA)
Istomin, Valery& Blondheim, David S.& Meisel, Simcha R.& Frimerman, Aaron& Lapidot, Moshe& Rachmilevitch, Ronit. Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101116
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101116