From the Gut to the Heart: Cardiac Tamponade due to Lymphatic Metastasis

  • Ana Pãosinho Internal Medicine Department, Egas Moniz Hospital, Lisbon, Portugal
  • Ana Luísa Esteves Internal Medicine Department, Egas Moniz Hospital, Lisbon, Portugal
  • António João Pereira Internal Medicine Department, Egas Moniz Hospital, Lisbon, Portugal

Keywords

Colon, cancer, metastasis, cardiac tamponade

Abstract

Malignant pericardial effusion is common, being reported in 5–15% of all cancer patients. It most commonly arises from metastasis of lymphomas and of tumours of the lung, breast and, infrequently, the gastrointestinal tract. We describe the case of a 76-year-old woman who presented to the emergency room with cervical adenopathies and clinical signs of acute heart failure. The nodes were biopsied and found to be consistent with adenocarcinoma of the colon. CT showed thoracic lymphatic involvement but no evidence of other organ involvement. The patient developed cardiac tamponade and required emergent pericardiocentesis. To our knowledge, this is the first report of metastatic colon cancer without direct involvement of the pericardium or other solid organs.

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  • Published: 2019-02-11

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Pãosinho, A., Esteves, A., & Pereira, A. (2019). From the Gut to the Heart: Cardiac Tamponade due to Lymphatic Metastasis. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001033