Boxer's pericardium.
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.
Ooi
A
A
Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK. adrianooisw@yahoo.co.uk
Douds
A C
AC
Kumar
E B
EB
Nashef
S A M
SA
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
D015282:Octreotide