Cardiac tamponade as the first clinical manifestation of metastatic adenocarcinoma of the lung.
A 62-year-old woman presented in the emergency department with new onset of dyspnea and clinical signs of cardiac tamponade. She had a history of cigarette smoking and a family history of adenocarcinoma, pancreatic and breast carcinoma. An emergency two-dimensional echocardiogram confirmed the diagnosis of cardiac tamponade. Therapeutic pericardiocentesis resulted in prompt relief. Cytology confirmed malignant glandular cells, consistent with a metastatic adenocarcinoma. Computerized chest tomography confirmed pulmonary involvement.
University of Alberta, Edmonton, Canada.
M
M
Balghith
D A
DA
Taylor
B I
BI
Jugdutt
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed