Agarwal Arun, Chowdhury Nikhil, Mathur Ankit, Sharma Samiksha, Agarwal Aakanksha
Consultant and Head, Department of Internal Medicine.
Senior Consultant, Department of Cardiology.
J Assoc Physicians India. 2016 Dec;64(12):98-100.
Hypothyroidism is a rare cause of pericardial effusion (PE). Pericardial effusion secondary to hypothyroidism remains a diagnostic challenge for clinicians because of its inconsistency between symptoms and amount of pericardial effusion. We report an atypical case that presented with ascites and was diagnosed to have cardiac tamponade secondary to primary hypothyroidism. Besides repeated pericardiocentesis she eventually required surgical management and optimization of medical therapy to manage the massive pericardial effusion.
甲状腺功能减退是心包积液（PE）的罕见病因。继发于甲状腺功能减退的心包积液对临床医生来说仍然是一个诊断挑战，因为其症状与心包积液量之间存在不一致性。我们报告一例非典型病例，该病例表现为腹水，被诊断为原发性甲状腺功能减退继发心脏压塞。除了反复心包穿刺外，她最终还需要手术治疗并优化药物治疗来处理大量心包积液。
