Primary pericardial mesothelioma presenting as constrictive pericarditis.
Primary pericardial mesothelioma is a rare tumour, often discovered late in a patient's clinical course or at autopsy. Antemortem diagnosis is usually made at the time of surgery. A patient who presented with what appeared to be viral pericarditis in October 1997 is reported. Recurrent symptoms prompted re-evaluation with echocardiography, chest computed tomography, magnetic resonance imaging, cardiac catheterization and a diagnosis of constrictive pericarditis. Associated hepatic dysfunction was found to be secondary to congestion. After operative pericardiotomy and histological examination, primary pericardial mesothelioma was diagnosed. The lesion was surgically debulked.
Oreopoulos
G
G
Toronto General Hospital, Toronto, Canada.
Mickleborough
L
L
Daniel
L
L
De Sa
M
M
Merchant
N
N
Butany
J
J
D003937:Diagnosis, Differential; D004452:Echocardiography; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D010496:Pericardium / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery