Clinical Case Reports (Jun 2023)

Continuous drainage for the treatment of gastric cancer with pericardial metastasis and cardiac tamponade: A case report

  • Tadayuki Hirai,
  • Wataru Omi,
  • Yoichiro Nakagawa,
  • Yusuke Shinjo,
  • Yoshitaka Okabe,
  • Chieko Kato,
  • Takahiro Saeki,
  • Satoru Sakagami

DOI
https://doi.org/10.1002/ccr3.7522
Journal volume & issue
Vol. 11, no. 6
pp. n/a – n/a

Abstract

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Key Clinical Message Signet‐ring cell gastric carcinomas presenting as pericardial effusion early in diagnosis are rare and associated with high mortality and a poor prognosis. There are two interesting aspects of this case: primary gastric carcinoma presenting as cardiac tamponade and the metastatic behavior of gastric signet‐ring cell carcinoma. Abstract This report describes an 83‐year‐old man diagnosed to have cardiac tamponade due to massive pericardial effusion. A cytological analysis of the pericardial effusion disclosed adenocarcinoma. The patient was treated with continuous pericardial drainage and the amount of pericardial effusion decreased.

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