PERICARDIAL MESOTHELIOMA AND ASSOCIATED PERICARDIAL EFFUSION IN A TIGER RAT SNAKE (SPILOTES PULLATUS) TREATED WITH PERICARDIOCENTESIS

2021 ◽  
Vol 51 (4) ◽  
Author(s):  
James Yan ◽  
Amelia C. Gould ◽  
Marco L. Margiocco ◽  
Megan Strobel ◽  
Andrea K. Cotter ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Mesothelioma ◽  
Rat Snake

scholarly journals Caso Clínico: Mesotelioma primario de pericardio

2020 ◽  
Vol 12 (3) ◽  
pp. 222-226
Author(s):  
Juan Sebastián Sánchez León ◽  
Irene Lucía Torres Washima ◽  
Anabel Stefanía Cobos Gálvez ◽  
Gladis Margarita Molina Alvarado
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Palliative Treatment ◽  
Pericardial Fluid ◽  
Severe Anemia ◽  
Short Term ◽  
Pericardial Mesothelioma ◽  
The World ◽  
Oncological Diseases ◽  
Low Incidence

BACKGROUND: Primary pericardial mesothelioma is an extremely rare mesodermal tumor, among oncological diseases, with a very low incidence. About 350 cases have been described around the world, most of them diagnosed post-mortem. The short term prognosis is poor, regardless of the treatment, which is mostly palliative. We present a case report regarding this pathology. CASE REPORT: 69 year old patient hospitalized with dyspnea and severe anemia. Complementary workup showed pleural effusion and pericardial effusion. Histopathology report of the pericardial fluid revealed pericardial mesothelioma. EVOLUTION: Due to recurrence of pericardial effusion, it was decided to perform pericardiectomy and left pleurectomy as palliative treatment, to alleviate the patient’s symptoms. Chemotherapy was planned after the procedure, but the patient’s general condition deteriorated severely leading to his death. CONCLUSION: Primary pericardial mesothelioma is a rare tumor, whose symptoms are characterized by the associated pericardial effusion, making the diagnosis difficult due to it low incidence. The prognosis is poor in short- term, and there isn’t an established protocol for the treatment with results that showed improve in mortality. KEYWORDS: MESOTHELIOMA, PERICARDIAL EFFUSION, PERICARDIECTOMY, PLEUROTOMY.

scholarly journals Multimodal Diagnostic Workup of Primary Pericardial Mesothelioma: A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Jiahui Liu ◽  
Zhi Wang ◽  
Ying Yang ◽  
Yan Xiong ◽  
Wei Wang ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Distant Metastases ◽  
Case Presentation ◽  
Multiple Modalities ◽  
Positron Emission ◽  
Contrast Enhanced ◽  
Pericardial Mesothelioma ◽  
Contrast Enhanced Ultrasonography ◽  
Meaningful Role ◽  
Pericardial Mass

Background: Primary pericardial mesothelioma is an extremely rare tumor, and early identification and accurate diagnosis may improve its clinical outcome.Case presentation: In this study, we reported a case of a 70-year-old woman who presented with dyspnea. Conventional transthoracic echocardiography showed massive pericardial effusion. Contrast-enhanced ultrasonography revealed a hyper-enhancing mass in the pericardium. Further imaging methods, including cardiac MRI and positron emission tomography/computed tomography, showed invasion of the pericardial mass into the adjacent tissues and distant metastases. Pathologic examination of a puncture biopsy specimen finally confirmed the diagnosis of PPM.Conclusion: Pericardial masses are difficult to detect when a large amount of pericardial effusion is present and the mass is small. The combination of multiple modalities plays a meaningful role in identifying PPM.

Cardiac MRI Findings in a Dog with a Diffuse Pericardial Mesothelioma and Pericardial Effusion

2013 ◽  
Vol 49 (6) ◽  
pp. 398-402 ◽  
Author(s):  
Ricardo Guillem Gallach ◽  
Wilfried Mai
Keyword(s):  
Pericardial Effusion ◽  
Cardiac Mri ◽  
Right Atrial ◽  
Mri Findings ◽  
Pericardial Mesothelioma ◽  
Right Atrial Mass ◽  
Anatomic Information ◽  
Recurrent Pericardial Effusion ◽  
Echocardiographic Findings ◽  
Rule Out

Veterinary cardiac MRI (cMRI) is a relatively new technique. A dog with recurrent pericardial effusion and a questionable right atrial mass lesion on echocardiography underwent cMRI. cMRI provided excellent anatomic information about the heart and surrounding structures and helped to rule out the presence of a focal mass. A diffuse thickening and enhancement of the pericardium was detected. Pericardiectomy was performed and histopathology revealed a diffuse pericardial mesothelioma. This case illustrates the potential of cMRI in the management of patients with pericardial effusion when echocardiographic findings are equivocal and illustrates cMRI findings in a case of diffuse pericardial mesothelioma.

scholarly journals Diagnosis of a primary pericardial mesothelioma by the combination of conventional echocardiography and contrast echocardiography

2020 ◽  
Vol 31 (2) ◽  
pp. 274-276
Author(s):  
Hongxia Wang ◽  
Yun Mou ◽  
Zhelan Zheng
Keyword(s):  
Pericardial Effusion ◽  
Significant Role ◽  
Preoperative Diagnosis ◽  
Standard Treatment ◽  
Comprehensive Evaluation ◽  
Contrast Echocardiography ◽  
Pathological Examination ◽  
Enhancement Pattern ◽  
Pericardial Mesothelioma ◽  
Conventional Echocardiography

Abstract Primary malignancies arising from the pericardium are rare, even more unusual for primary pericardial mesothelioma. The diagnosis is difficult and has no standard treatment. We herein present a case of a 65-year-old woman with primary pericardial mesothelioma associated with dyspnoea and palpitations. Transthoracic conventional echocardiography revealed mild pericardial effusion and a hypo-echogenic mass in the pericardium. Contrast echocardiography showed that the mass was hyper-enhanced with a radial enhancement pattern. The patient underwent open chest exploration and was diagnosed by pathological examination. She had no further treatment and died 2 years later. In conclusion, the combination of conventional echocardiography and contrast echocardiography plays a significant role in diagnosing primary pericardial mesothelioma. Comprehensive evaluation and accurately preoperative diagnosis are important to exclude certain tumours that do not require surgery.

scholarly journals Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Morad Tajjiou ◽  
Wolfgang Wild ◽  
Nasir Sayed ◽  
Alexander Flauaus ◽  
Markus Divo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Cardiac Function ◽  
Imaging Techniques ◽  
Pleural Empyema ◽  
Lower Leg ◽  
Diagnostic Significance ◽  
Pericardial Mesothelioma

This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dyspnea, lower leg oedema), pericardial effusion, and pericarditis. Echocardiography in the identification of pericardial mesotheliomas is low. In this case, the cardiac function could be imaged well, but the tumor could not be imaged. The CT showed a pericardial effusion and a pleural effusion. Here, the tumor could not be diagnosed either. Only the operation led to diagnosis.

scholarly journals Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Valery Istomin ◽  
David S. Blondheim ◽  
Simcha R. Meisel ◽  
Aaron Frimerman ◽  
Moshe Lapidot ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Empirical Therapy ◽  
Common Finding ◽  
Pericardial Window ◽  
Large Pericardial Effusion ◽  
Pericardial Mesothelioma ◽  
Uncommon Disease ◽  
Chest X Ray ◽  
The Common ◽  
Infectious Etiology

This case report describes a 37-year-old female who was admitted to our Emergency Department because of shortness of breath. On physical examination, she had dyspnea and tachycardia and blood pressure was 80/50 mmHg with a pulsus paradoxus of 22 mmHg. Neck veins were distended, heart sounds were distant, and dullness was found on both lung bases. Her chest X-ray revealed bilateral pleural effusion and cardiomegaly. On both computed tomography and echocardiography the heart was of normal size and a large pericardial effusion was noted. The echocardiogram showed signs of impending tamponade, so the patient underwent an emergent pericardiocentesis. No infectious etiology was found and she was assumed to have viral pericarditis and was treated accordingly. However, when the pericardial effusion recurred and empirical therapy for tuberculosis failed, a pericardial window was performed. A typical staining pattern for mesothelioma was found on her pericardial biopsy specimen. Since no other mesodermal tissue was affected, a diagnosis of primary malignant pericardial mesothelioma was made. Chemotherapy was not effective and she passed away a year after the diagnosis was made. This case highlights the difficulties in diagnosing this uncommon disease in patients that present with the common finding of pericardial effusion.

Cardiomegaly and pericardial effusion in a beauty rat snake

2016 ◽  
Vol 21 (4) ◽  
pp. 242-245
Author(s):  
Iain Cope ◽  
Matt Fiddes ◽  
Sarah Pellet
Keyword(s):  
Pericardial Effusion ◽  
Rat Snake

scholarly journals Primary Pericardial Mesothelioma an Oncological Rarity

2017 ◽  
Vol 02 (02) ◽  
pp. 046-048
Author(s):  
R Kumar ◽  
Sai Surabhi ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Pericardial Effusion ◽  
Genetic Predisposition ◽  
Constrictive Pericarditis ◽  
Poor Prognosis ◽  
Clinical Manifestations ◽  
Late Presentation ◽  
Dietary Factors ◽  
Pericardial Mesothelioma ◽  
Recurrent Pericardial Effusion

AbstractPrimary pericardial mesothelioma is a rare and lethal tumor, with a reported prevalence of <0.002% [1]. Pleural and pericardial mesotheliomas, which are far more common are usually associated with exposure to asbestos. However, the cause of pericardial mesothelioma is less clear [2] and is influenced by other factors like genetic predisposition, immunological impairment, infection, radiation, dietary factors and recurrent serosal inflammation [3]. Clinical manifestations of the neoplasm include constrictive pericarditis, cardiac tamponade, and heart failure. Because of late presentation and few treatment approaches, primary pericardial mesothelioma carries a poor prognosis. In this paper, we present a case of primary pericardial mesothelioma in a 46 year female presenting as recurrent pericardial effusion along with constrictive pericarditis.

scholarly journals Pericardial mesothelioma masquerading as a benign pericardial effusion

1984 ◽  
Vol 4 (6) ◽  
pp. 1307-1310 ◽  
Author(s):  
Neil L. Coplan ◽  
Arthur J. Kennish ◽  
Nora L. Burgess ◽  
Liane Deligdish ◽  
Martin E. Goldman
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Mesothelioma
Sign in / Sign up

Export Citation Format

Share Document