Pericardial tamponade and carcinomatous lymphangitis as primary manifestation of lung neoplasm

Cardiac tamponade (CT) and Carcinomatous lymphangitis (CL) association as an initial clinical presentation of a neoplasm is very uncommon, creating diagnosis difficulties in the patient first evaluation. This paper reports one case of a male who was admitted in Emergency Department with clinical and...

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Bibliographic Details
Published inAnales de medicina interna (Madrid, Spain : 1984) Vol. 12; no. 6; p. 286
Main Authors del Toro Cervera, J, Granda Martin, M J, Pérez Tamayo, I, Llorca Garrigos, R, González Ramallo, V, Muiño Miguez, A
Format Journal Article
LanguageSpanish
Published Spain 01.06.1995
Subjects
Adenocarcinoma - diagnosis
Bronchoalveolar Lavage Fluid
Carcinoma, Bronchogenic - diagnosis
Cardiac Tamponade - diagnostic imaging
Cardiac Tamponade - etiology
Cardiomegaly - diagnostic imaging
Cardiomegaly - etiology
Diagnosis, Differential
Humans
Lung Neoplasms - diagnosis
Lymphangitis - etiology
Male
Middle Aged
Tomography, X-Ray Computed
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Summary:Cardiac tamponade (CT) and Carcinomatous lymphangitis (CL) association as an initial clinical presentation of a neoplasm is very uncommon, creating diagnosis difficulties in the patient first evaluation. This paper reports one case of a male who was admitted in Emergency Department with clinical and radiological findings of heart failure. Following studies showed CT and CL secondary to a bronchial adenocarcinoma. Differential diagnosis is really important for its associated therapeutic implications because of the CT hemodynamic worsening situation due to the diuretic and vasodilators used in the treatment of heart failure. An echocardiography should be done because it is very useful for the initial evaluation of a heart failure of obscure origin.
ISSN:0212-7199