Cancerous pericarditis presenting as cardiac tamponade in a
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Pericardial effusion is a rare complication of pancreatic cancer. Authors report a case of cardiac tamponade secondary to pancreatic cancer.

A 68-year-old Japanese man was diagnosed as having pancreatic cancer during surgery and received chemotherapy for 28-months after the diagnosis. He was admitted to the emergency room with severe dyspnea. Echocardiography revealed pericardial effusion with severe hypofunction.

Emergency pericardial drainage was performed to maintain hemodynamics, which resulted in the elimination of 450-mL of blood and the maintenance of circulatory dynamics. Cytological examination of the pericardial fluid revealed atypical cells and tumor cells suggesting adenocarcinoma.

To the knowledge, pancreatic cancer complicated with cancerous pericarditis has not been previously documented. This case highlights the extreme severity of pericardial effusion, a sign of progressive disease, secondary to pancreatic cancer. In the case of neoplastic pericardial effusion, an extremely poor prognosis must be considered.

Source: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-020-02546-y
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