West African journal of medicine · 2023
Report of a Rare Case of Primary Pericardial Malignancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Folorunso T O, Adedeji E A, Folorunso A E, Oluwarotimi I V
Аннотация
BACKGROUND: Primary pericardial malignancy is rare and often clinically silent until the late stage when survival is abysmally poor.
OBJECTIVES: To emphasize the need for a high index of suspicion and accessibility as well as affordability of cardiac magnetic resonance imaging in our clinical practice.
CASE REPORT: 68years old male sawmiller who presented with a history of progressive weight loss and recurrent fever and 3 months history of generalized body swelling and dyspnea. Examination revealed an elderly man, wasted with cold clammy extremities and anasarca, Blood pressure was 100/60mmHg, elevated JVP, and distant heart sound S1, S2, S3. Grossly distended abdomen but no palpable organomegaly and ascites demonstrable by fluid thrill. Tachypnea with dull percussion note with reduced tactile fremitus and breath sound bilaterally. A plain chest radiograph revealed cardiomegaly while electrocardiography revealed ventricular tachycardia. The diagnosis was confirmed by both echocardiography and computerized tomography which revealed a circumferential pericardial mass. The patient's response to treatment was poor and died 9th day of admission.
CONCLUSION: There is a need for a high index of suspicion, accessible and affordable cardiac resonance imaging for accurate and prompt diagnosis of rare condition.
OBJECTIVES: To emphasize the need for a high index of suspicion and accessibility as well as affordability of cardiac magnetic resonance imaging in our clinical practice.
CASE REPORT: 68years old male sawmiller who presented with a history of progressive weight loss and recurrent fever and 3 months history of generalized body swelling and dyspnea. Examination revealed an elderly man, wasted with cold clammy extremities and anasarca, Blood pressure was 100/60mmHg, elevated JVP, and distant heart sound S1, S2, S3. Grossly distended abdomen but no palpable organomegaly and ascites demonstrable by fluid thrill. Tachypnea with dull percussion note with reduced tactile fremitus and breath sound bilaterally. A plain chest radiograph revealed cardiomegaly while electrocardiography revealed ventricular tachycardia. The diagnosis was confirmed by both echocardiography and computerized tomography which revealed a circumferential pericardial mass. The patient's response to treatment was poor and died 9th day of admission.
CONCLUSION: There is a need for a high index of suspicion, accessible and affordable cardiac resonance imaging for accurate and prompt diagnosis of rare condition.