DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150339

Pericardial tamponade masking associated pulmonary thrombo embolism in a case of adeno carcinoma of lung

Srinivasan Kandasamy, Monica E. Florence Tadi, John Satish Rudrapogu, Govind Biju, Chaitanya Boddikura, Anil Kumar Naralasetty

Abstract


This case report describes a patient admitted with shortness of breath of 15 days duration and found to have cardiac tamponade, which masked concomitant pulmonary embolism that was diagnosed by echocardiographic signs of dilate RA/RV with PAH only after successful pericardiocentesis. Subsequently patient was found to have widely metastatic adenocarcinoma of lungs. This case emphasizes the diagnostic challengewhen cardiac tamponade is associated with pulmonary thromboembolism and requires high index of clinical suspicion in patients with underlying malignancy.


Keywords


Pericardial tamponade, Pulmonary thromboembolism, Adenocarcinoma lung

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References


Mukai K, Shinkai T. Tominaga K, Shimosato Y. The incidence of secondary tumors of heart and pericardium: A ten-year study. Jpn J Clin Oncol 1988;18:195.

Spodick DH. Neoplastic pericardial diseases. In The Pericurdiurn, A Comprehensive Textbook, New York: Marcel Dekker. 1997;301.

Spodick DH. Diseases of the pericardium. In Ciirdiology, An Illustrated Text. Parmley W, Chatterjee K, Eds. Philadelphia: J.B. Lippincott, 1991;10.63.

Spodick DH. Neoplastic pericardial diseases. In The Pericurdiurn, A Comprehensive Textbook, New York: Marcel Dekker. 1997;302.

Laham RJ, Cohen DJ, Kuntz RE, Baim DS, Lorell BH, et al. Pericardial effusions in patients with cancer: Outcome with contemporary management strategies. Heart. 1996;75:67-71.

Monreal M, Casals A, Boix J, Olazabal A, Montserrat E. Ribas Mundo M. Occult cancer in patients with acute pulmonary embolism: Aprospective study. Chest. 1993;103:816-9.