title: Boxer's pericardium.
abstract: A 65-year-old retired professional boxer presented with progressively worsening shortness of breath, peripheral oedema and mild abdominal swelling over a period of 6 months. His only past medical history was hypertension. Subsequent investigations revealed chylous ascites, pericardial constriction and bilateral chylothorax. He had uneventful pericardectomy, and post-operatively the chylothorax resolved only after administration of octreotide for 10 days. The histopathological features of fibrosis, haemosiderin deposition in the pericardium and abundant haemosiderin-laden macrophages are consistent with chronic resolving haemopericardium. These findings suggested that the cause of pericardial constriction was repeated chest trauma from boxing.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK. adrianooisw@yahoo.co.uk
authors.forename: A
authors.initials: A
authors.lastname: Ooi
authors.forename: A C
authors.initials: AC
authors.lastname: Douds
authors.forename: E B
authors.initials: EB
authors.lastname: Kumar
authors.forename: S A M
authors.initials: SA
authors.lastname: Nashef
mesh_terms: D000368:Aged; D001914:Boxing / Q000293:injuries*; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D015282:Octreotide / Q000627:therapeutic use; D010496:Pericardium / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed
chemical_list: D015282:Octreotide