title: Recurrent Cardiac Tamponade: An Unusual Presentation of Intrahepatic Cholangiocarcinoma.
abstract: A 48-year-old Egyptian woman presented with 8 months of sharp right upper chest pain and weight loss. She was discovered to have an enlarged cardiac silhouette on chest x-ray, and an echocardiogram revealed a large pericardial effusion with diastolic right atrial collapse. Pericardial window was done, and epithelial membrane antigen-positive neoplastic cells were identified in the pericardial fluid. Computed tomography showed a 6-cm hypermetabolic lesion on the liver segment IV, confirmed on biopsy to be a moderately differentiated adenocarcinoma consistent with intrahepatic cholangiocarcinoma.
authors.affiliation: Department of Medicine, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Liege I
authors.initials: LI
authors.lastname: Diaz
authors.affiliation: Department of Medicine, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Juan E
authors.initials: JE
authors.lastname: Corral
authors.affiliation: Division of Hepatology, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Arosemena
authors.affiliation: Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Monica T
authors.initials: MT
authors.lastname: Garcia-Buitrago
authors.affiliation: Division of Radiology, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Madrazo
authors.affiliation: Division of Hepatology, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Paul
authors.initials: P
authors.lastname: Martin