Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report
Abstract Introduction Pericardial effusion is a rare complication of pancreatic cancer. We report a case of cardiac tamponade secondary to pancreatic cancer. Case presentation A 68-year-old Japanese man was diagnosed as having pancreatic cancer during surgery and received chemotherapy for 28 months...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s13256-020-02546-y |
| _version_ | 1818205728662355968 |
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| author | Sachie Kiryu Zensho Ito Masashi Ishikawa Takafumi Akasu Yoshihiro Matsumoto Shinichi Hirooka Masayuki Saruta Shigeo Koido |
| author_facet | Sachie Kiryu Zensho Ito Masashi Ishikawa Takafumi Akasu Yoshihiro Matsumoto Shinichi Hirooka Masayuki Saruta Shigeo Koido |
| author_sort | Sachie Kiryu |
| collection | DOAJ |
| description | Abstract Introduction Pericardial effusion is a rare complication of pancreatic cancer. We report a case of cardiac tamponade secondary to pancreatic cancer. Case presentation A 68-year-old Japanese man was diagnosed as having pancreatic cancer during surgery and received chemotherapy for 28 months after the diagnosis. He was admitted to the emergency room with severe dyspnea. Echocardiography revealed pericardial effusion with severe hypofunction. Emergency pericardial drainage was performed to maintain hemodynamics, which resulted in the elimination of 450 mL of blood and the maintenance of circulatory dynamics. Cytological examination of the pericardial fluid revealed atypical cells and tumor cells suggesting adenocarcinoma. Conclusions To our knowledge, pancreatic cancer complicated with cancerous pericarditis has not been previously documented. This case highlights the extreme severity of pericardial effusion, a sign of progressive disease, secondary to pancreatic cancer. In the case of neoplastic pericardial effusion, an extremely poor prognosis must be considered. |
| first_indexed | 2024-12-12T04:01:45Z |
| format | Article |
| id | doaj.art-15599d9f83df4f57be7d47bd77d2738e |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T04:01:45Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-15599d9f83df4f57be7d47bd77d2738e2022-12-22T00:39:00ZengBMCJournal of Medical Case Reports1752-19472020-11-011411410.1186/s13256-020-02546-yCancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case reportSachie Kiryu0Zensho Ito1Masashi Ishikawa2Takafumi Akasu3Yoshihiro Matsumoto4Shinichi Hirooka5Masayuki Saruta6Shigeo Koido7Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalDepartment of Pathology, The Jikei University School of Medicine, Kashiwa HospitalDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of MedicineDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Kashiwa HospitalAbstract Introduction Pericardial effusion is a rare complication of pancreatic cancer. We report a case of cardiac tamponade secondary to pancreatic cancer. Case presentation A 68-year-old Japanese man was diagnosed as having pancreatic cancer during surgery and received chemotherapy for 28 months after the diagnosis. He was admitted to the emergency room with severe dyspnea. Echocardiography revealed pericardial effusion with severe hypofunction. Emergency pericardial drainage was performed to maintain hemodynamics, which resulted in the elimination of 450 mL of blood and the maintenance of circulatory dynamics. Cytological examination of the pericardial fluid revealed atypical cells and tumor cells suggesting adenocarcinoma. Conclusions To our knowledge, pancreatic cancer complicated with cancerous pericarditis has not been previously documented. This case highlights the extreme severity of pericardial effusion, a sign of progressive disease, secondary to pancreatic cancer. In the case of neoplastic pericardial effusion, an extremely poor prognosis must be considered.http://link.springer.com/article/10.1186/s13256-020-02546-yPancreatic cancerCardiac tamponade |
| spellingShingle | Sachie Kiryu Zensho Ito Masashi Ishikawa Takafumi Akasu Yoshihiro Matsumoto Shinichi Hirooka Masayuki Saruta Shigeo Koido Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report Journal of Medical Case Reports Pancreatic cancer Cardiac tamponade |
| title | Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report |
| title_full | Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report |
| title_fullStr | Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report |
| title_full_unstemmed | Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report |
| title_short | Cancerous pericarditis presenting as cardiac tamponade in a 68-year-old man with pancreatic adenocarcinoma: a case report |
| title_sort | cancerous pericarditis presenting as cardiac tamponade in a 68 year old man with pancreatic adenocarcinoma a case report |
| topic | Pancreatic cancer Cardiac tamponade |
| url | http://link.springer.com/article/10.1186/s13256-020-02546-y |
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