title: Occult malignancy presenting as constrictive pericarditis.
abstract: Metastatic tumour progression to the pericardium is generally characterised by an effusional pericarditis. It is extremely rare for tumour to metastasise to the pericardium and cause constrictive pericarditis in the absence of a pericardial effusion. We report the recent case of a patient who was referred to our centre with constrictive pericarditis. Following pericardectomy and histopathological analysis this was found to be secondary to an occult metastatic adenocarcinoma.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland, UK. dporter@tcd.ie
authors.forename: Darren
authors.initials: D
authors.lastname: Porter
authors.forename: Mehmood
authors.initials: M
authors.lastname: Jadoon
authors.forename: Damian
authors.initials: D
authors.lastname: McGrogan
authors.forename: Onyekwelu
authors.initials: O
authors.lastname: Nzewi
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary / Q000601:surgery; D000328:Adult; D001706:Biopsy; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000150:complications* / Q000556:secondary / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010496:Pericardium / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome