Uncommon case of pericardial effusion

  • Andrea D'Amato | damatoandrea@hotmail.com Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Costantino Mancusi Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Maria Viviana Carlino Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Veronica Lio Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Federica De Pisapia Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Alfonso Sforza Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.
  • Giovanni de Simone Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy.

Abstract

We present the case of a 59-year-old patient with severe aortic stenosis, asymptomatic mild to moderate pericardial effusion and no major risk factors for poor prognosis. He underwent four-week course of non-steroidal anti-inflammatory drugs (ibuprofen 600 mg TID) with no improvement of the effusion. After complete diagnostic work-up and examination, we discovered that he had a prostate cancer with bone metastasis. On the bone scintigraphy, there was particular involvement of ribs and sternum. We decided to treat our patient with an association of docetaxel and hormone therapy, after six months we observed a reduction in the pericardial effusion. Even in the presence of a patient without risk factor of poor prognosis, pericardial effusion can be the first sign of occult neoplasia.

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Published
2017-09-11
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Issue
Section
Case Reports
Keywords:
Pericardial disease, cancer, inflammation, echocardiography.
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How to Cite
D’Amato, A., Mancusi, C., Carlino, M. V., Lio, V., De Pisapia, F., Sforza, A., & de Simone, G. (2017). Uncommon case of pericardial effusion. Italian Journal of Medicine, 11(3), 331-334. https://doi.org/10.4081/itjm.2017.775