title: Successful management of hemopericardium and cardiac tamponade secondary to occult malignancy and anticoagulation.
abstract: In patients presenting with pericarditis or pericardial effusion without known malignancy, the likelihood of finding previously undiagnosed cancer in different publications typically ranges from 4% to 7%. Cardiac tamponade due to malignant pericardial effusion is thus a rare clinical entity and often acutely life threatening. The present report describes an unusual case of large pericardial bleeding causing tamponade in the setting of fondaparinux anticoagulation, heterozygous factor V Leiden mutation and eventual discovery of meta-static adenocarcinoma.
authors.affiliation: Unity Hospital of Rochester;
authors.forename: David H
authors.initials: DH
authors.lastname: Hsi
authors.forename: Mahesh
authors.initials: M
authors.lastname: Krishnamurthy
authors.forename: Gerald F
authors.initials: GF
authors.lastname: Ryan
authors.forename: Pifu
authors.initials: P
authors.lastname: Luo
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Woodlock