scholarly journals Caso Clínico: Mesotelioma primario de pericardio

2020 ◽  
Vol 12 (3) ◽  
pp. 222-226
Author(s):  
Juan Sebastián Sánchez León ◽  
Irene Lucía Torres Washima ◽  
Anabel Stefanía Cobos Gálvez ◽  
Gladis Margarita Molina Alvarado
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Palliative Treatment ◽  
Pericardial Fluid ◽  
Severe Anemia ◽  
Short Term ◽  
Pericardial Mesothelioma ◽  
The World ◽  
Oncological Diseases ◽  
Low Incidence

BACKGROUND: Primary pericardial mesothelioma is an extremely rare mesodermal tumor, among oncological diseases, with a very low incidence. About 350 cases have been described around the world, most of them diagnosed post-mortem. The short term prognosis is poor, regardless of the treatment, which is mostly palliative. We present a case report regarding this pathology. CASE REPORT: 69 year old patient hospitalized with dyspnea and severe anemia. Complementary workup showed pleural effusion and pericardial effusion. Histopathology report of the pericardial fluid revealed pericardial mesothelioma. EVOLUTION: Due to recurrence of pericardial effusion, it was decided to perform pericardiectomy and left pleurectomy as palliative treatment, to alleviate the patient’s symptoms. Chemotherapy was planned after the procedure, but the patient’s general condition deteriorated severely leading to his death. CONCLUSION: Primary pericardial mesothelioma is a rare tumor, whose symptoms are characterized by the associated pericardial effusion, making the diagnosis difficult due to it low incidence. The prognosis is poor in short- term, and there isn’t an established protocol for the treatment with results that showed improve in mortality. KEYWORDS: MESOTHELIOMA, PERICARDIAL EFFUSION, PERICARDIECTOMY, PLEUROTOMY.

scholarly journals Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Morad Tajjiou ◽  
Wolfgang Wild ◽  
Nasir Sayed ◽  
Alexander Flauaus ◽  
Markus Divo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Cardiac Function ◽  
Imaging Techniques ◽  
Pleural Empyema ◽  
Lower Leg ◽  
Diagnostic Significance ◽  
Pericardial Mesothelioma

This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dyspnea, lower leg oedema), pericardial effusion, and pericarditis. Echocardiography in the identification of pericardial mesotheliomas is low. In this case, the cardiac function could be imaged well, but the tumor could not be imaged. The CT showed a pericardial effusion and a pleural effusion. Here, the tumor could not be diagnosed either. Only the operation led to diagnosis.

scholarly journals The Facilitation of Pericardiocentesis Using Imaging Techniques. A Case Report

2016 ◽  
Vol 2 (3) ◽  
pp. 129-133
Author(s):  
Ioan Manițiu ◽  
Iulia Cobârje ◽  
Ionuț Bitea ◽  
Radu Cojan ◽  
Andra-Maria Bebeşelea
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Bacterial Infections ◽  
Ultrasound Guidance ◽  
Imaging Techniques ◽  
Pericardial Fluid ◽  
Cardiac Ultrasound ◽  
Chest X Ray ◽  
Effusion Fluid

Abstract Introduction: Pericardiocentesis is a procedure performed for diagnostic and therapeutic purposes, and it consists in draining the pericardial effusion liquid in sterile conditions. The accumulation of fluid in the pericardial space may be caused by several systemic conditions, including viral or bacterial infections, autoimmune disease, cancer, as well as thyroid malfunction. A rapidly growing pericardial effusion can lead to cardiac tamponade, and consequently to acute hypodiastolic heart failure. Case report: We report the case of a 79-year-old female, without previously known cardiovascular pathologies, who presented to the Emergency Room due to a gradual deterioration in her health status. Imaging procedures included a chest X-ray and an echocardiography that confirmed the diagnosis of pericardial effusion. Pericardiocentesis was performed using cardiac ultrasound guidance, resulting in the draining of a small quantity of yellowish, partly haemorrhagic fluid. The patient's general condition did not improve, thus another pericardiocentesis was carried out, this time with fluoroscopical and cardiac ultrasound guidance, and 1200 milliliters of sero-haemorrhagic fluid was drained. The laboratory analysis revealed that the patient had hypothyroidism, and the cytological analysis of the drained pericardial fluid excluded a neoplastic origin, tuberculosis, and other infectious etiologies. The particularity of the case consists in a pericardial effusion evolving into cardiac tamponade, for which the pericardiocentesis was guided using echocardiographic, fluoroscopic and radiologic methods, because simple ultrasound-guided drainage was not efficient. Conclusion: The superiority of a combined imaging-guided approach in cases of pericardial effusion recommends it as an alternative to a surgical procedure, guided solely by echocardiography, which is often used in cases of unsuccessful drainage of pericar-dial effusion fluid.

Mycobacterium Endocarditis- A Case Report

2021 ◽  
Vol 14 (1) ◽  
pp. 76-78
Author(s):  
Md Abu Zahid ◽  
Mst Ferdousy Sultana ◽  
Shakil Ghafur ◽  
Hasanul Islam
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Mitral Valve ◽  
Pericardial Effusion ◽  
Rare Case ◽  
Pericardial Fluid ◽  
History Of

Mycobacterium Endocarditis is a very rare case. A 5 years old boy presented us with the history of fever and breathlessness. CXR shows huge cardiomegaly, patient is anemic and temperature is raised. On echo revels vegetation on Tricuspid &Mitral valve ç huge pericardial effusion ç features of early tamponade. Pericardial fluid was drawn and the symptoms improved. Pericardial fluid colour was milky and exudative in nature. ADA for mycobacterium tuberculosis was positive. The patient was given anti tuberculosis drug & improved with time. Cardiovasc j 2021; 14(1): 76-78

scholarly journals MICROFILARIA IN PERICARDIAL EFFUSION COEXISTING WITH SPINDLE CELL THYMOMA-A RARE CASE REPORT

2011 ◽  
Vol 01 (04) ◽  
pp. 40-42
Author(s):  
Harish S Permi ◽  
Samaga B N. ◽  
Subramanyam K. ◽  
Jayaprakash Shetty K. ◽  
Teerthanath S. ◽  
...  
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Mediastinal Mass ◽  
Spindle Cell ◽  
Pericardial Fluid ◽  
Anterior Mediastinal Mass ◽  
Rare Case Report ◽  
Trucut Biopsy ◽  
Cardiac Intensive Care ◽  
Diethyl Carbamazine

AbstractLymphatic filariasis is common in tropical countries and is endemic in South India. Filariasis presenting with pericardial effusion is rare, coexisting with spindle cell thymoma is still very rare. We report a case of a 53-year-old male who was admitted to cardiac intensive care unit with severe breathless since two days. Cardiac Echocardiogram showed massive pericardial effusion with cardiac tamponade and large anterior mediastinal mass. Pericardial fluid aspiration drained 1.5 litres of hemorrhagic fluid. Cytology examination revealed microfilaria of Wutchereria bancrofti. FNAC and trucut biopsy from anterior mediastinal mass showed features of spindle cell thymoma. He was treated with diethyl carbamazine thrice daily for one month. He refused for excision of thymoma. This case report is a rare coexistence of microfilaria in pericardial effusion with spindle cell thymoma. We stress the need to consider filariasis as differential diagnosis in the evaluation of hemorrhagic pericardial effusion especially in endemic areas.

scholarly journals Post-Irradiation Malignant Pericardial Mesothelioma with Recurrent Bloody Pericardial Effusion : a Case Report

2021 ◽  
Vol 50 (1) ◽  
pp. 34-37
Author(s):  
Shuntaro Ito ◽  
Kenji Mogi ◽  
Manabu Sakurai ◽  
Kengo Tani ◽  
Masafumi Hashimoto ◽  
...  
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Post Irradiation ◽  
Pericardial Mesothelioma

scholarly journals Maxillary Canine—First Premolar Transposition

2007 ◽  
Vol 77 (1) ◽  
pp. 167-175 ◽  
Author(s):  
Leopoldino Capelozza Filho ◽  
Mauriciode Almeida Cardoso ◽  
Tien Li An ◽  
Francisco Antonio Bertoz
Keyword(s):  
Case Report ◽  
Permanent Teeth ◽  
World Population ◽  
Tooth Size ◽  
Maxillary Canine ◽  
The World ◽  
Size Discrepancy ◽  
Facial Pattern ◽  
Tooth Size Discrepancy ◽  
Low Incidence

Abstract Tooth transpositions present at a relatively low incidence in the world population and primarily affect maxillary canines and premolars. Treatment of this disturbance should take into account aspects such as facial pattern, age, malocclusion, tooth-size discrepancy, stage of eruption, and magnitude of the transposition. Mechanics for correction should be entirely individualized, reducing the risks and adverse effects. Practitioners often select simpler options, indicating extraction of permanent teeth, which is an irreversible procedure that may bring about damages to the patient. This study presents a case report and treatment of unilateral transposition of maxillary canine and premolar with repositioning of affected teeth to their respective normal positions.

scholarly journals Recurrent Mixed Neuroendocrine-Non-Neuroendocrine Neoplasm in the Gallbladder: A Case Report

2021 ◽  
pp. 411-417
Author(s):  
Turki Al-Fayea ◽  
Mohammed Alzahrani ◽  
Hatim Almaghrabi ◽  
Abdulrahman Alghamdi ◽  
Kabo Mohammed
Keyword(s):  
Case Report ◽  
World Health Organization ◽  
Therapeutic Strategies ◽  
Therapeutic Options ◽  
World Health ◽  
Neuroendocrine Neoplasm ◽  
Neuroendocrine Neoplasms ◽  
The World ◽  
Low Incidence ◽  
Health Organization

Mixed neuroendocrine-non-neuroendocrine neoplasms (MiNEN) of the gallbladder are rare with no established therapeutic strategies. We report a case of recurrent gallbladder MiNEN from a population with a low incidence of gallbladder carcinomas, a review of the current therapeutic options, and recent updates on the nomenclature proposed by the World Health Organization in 2017.

The Diagnostic Value of Pericardial Fluid and Pericardial Biopsy: Single Center Experiences

2016 ◽  
Vol 19 (1) ◽  
pp. 023 ◽  
Author(s):  
Mehmet Yildirim ◽  
Recep Ustaalioglu ◽  
Murat Erkan ◽  
Bala Basak Oven Ustaalioglu ◽  
Hatice Demirbag ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Thoracoscopic Surgery ◽  
Pericardial Tamponade ◽  
Pericardial Fluid ◽  
Pathological Examination ◽  
Common Disease ◽  
Pericardial Window ◽  
Surgical Interventions ◽  
History Of ◽  
Recurrent Pericardial Effusion

<strong>Background:</strong> Patients with recurrent pericardial effusion and pericardial tamponade are usually treated in thoracic surgery clinics by VATS (video-assisted thoracoscopic surgery) or open pericardial window operation. The diagnostic importance of pathological evaluation of the pericardial fluid and tissue in the same patients has been reported in few studies. We reviewed pathological examination of the pericardial tissue and fluid specimens and the effect on the clinical treatment in our clinic, and compared the results with the literature. <br /><strong>Methods:</strong> We retrospectively analyzed 174 patients who underwent pericardial window operation due to pericardial tamponade or recurrent pericardial effusion. For all patients both the results of the pericardial fluid and pericardial biopsy specimen were evaluated. Clinicopathological factors were analyzed by using descriptive analysis. <br /><strong>Results:</strong> Median age was 61 (range, 20-94 years). The most common benign diagnosis was chronic inflammation (94 patients) by pericardial biopsy. History of malignancy was present in 28 patients (16.1%) and the most common disease was lung cancer (14 patients). A total of 24 patients (13.8%) could be diagnosed as having malignancy by pericardial fluid or pericardial biopsy examination. The malignancy was recognized for 12 patients who had a history of cancer; 9 of 12 with pericardial biopsy, 7 diagnosed by pericardial fluid. Twelve of 156 patients were recognized as having underlying malignancy by pericardial biopsy (n = 9) or fluid examination (n = 10), without known malignancy previously. <br /><strong>Conclusion:</strong> Recurrent pericardial effusion/pericardial tamponade are entities frequently diagnosed, and surgical interventions may be needed either for diagnosis and/or treatment, but specific etiology can rarely be obtained in spite of pathological examination of either pericardial tissue or fluid. For increasing the probability of a specific diagnosis both the pericardial fluid and the pericardial tissues have to be sent for pathologic examination.

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