Cardiac tamponade as the first presentation of thymoma: A case report during COVID-19 pandemic
Proceedings of Singapore Healthcare
; 31(no pagination), 2022.
Article
in English
| EMBASE | ID: covidwho-2234200
ABSTRACT
We report a case of neoplastic cardiac tamponade, a life-threatening condition, as the initial presentation of an anterior mediastinal malignancy. A 69-year-old gentleman with no known history of malignancy presented to the emergency department with shortness of breath, reduced effort tolerance and chronic cough. Clinically, he was not in distress but tachycardic. He was subjected to echocardiography which revealed large pericardial effusion with tamponade effect. Pericardiocentesis drained 1.5 L of haemoserous fluid. CECT thorax, abdomen and pelvis revealed an anterior mediastinal mass with intrathoracic extension complicated with mass effect onto the right atrium and mediastinal vessels. Ultrasound-guided biopsy histopathology examination revealed thymoma. Due to locally advanced disease, tumour resection was not possible, and patient was referred to oncology team for chemoradiotherapy. We report this case study not only due to the rarity of the case but also to highlight its diagnostic challenge due to the COVID-19 pandemic. Copyright © The Author(s) 2022.
Cardiac tamponade; pericardiocentesis; thymoma; aged; article; blood pressure; case report; chemoradiotherapy; chronic cough; clinical article; computer assisted tomography; dyspnea; echocardiography; electrocardiogram; erythrocyte sedimentation rate; heart tamponade/di [Diagnosis]; human; human tissue; hypertension; international normalized ratio; leukocyte count; male; non insulin dependent diabetes mellitus; pericardial effusion; platelet count; polymerase chain reaction; prothrombin time; pulse rate; tachycardia; thorax radiography; thymoma/di [Diagnosis]; ultrasound guided biopsy; alanine aminotransferase/ec [Endogenous Compound]; albumin/ec [Endogenous Compound]; aspartate aminotransferase/ec [Endogenous Compound]; C reactive protein/ec [Endogenous Compound]; creatine kinase/ec [Endogenous Compound]; creatinine/ec [Endogenous Compound]; hemoglobin/ec [Endogenous Compound]; lactate dehydrogenase/ec [Endogenous Compound]; potassium/ec [Endogenous Compound]; sodium/ec [Endogenous Compound]; urea/ec [Endogenous Compound]
Full text:
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Case report
/
Prognostic study
Language:
English
Journal:
Proceedings of Singapore Healthcare
Year:
2022
Document Type:
Article
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