晚期胃癌导致的心包填塞：病例报告及文献复习

Cardiac tamponade due to advanced gastric cancer: case report and review.

作者信息

Mansilla Sofía, Muniz Nicolás, Haro Camila, Pouy Andrés, Brito Noelia, Viola Marcelo, Canessa César

机构信息

Clínica Quirúrgica B, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo Uruguay, Av. Italia S/N, 11600, Montevideo, Uruguay.

Clínica Quirúrgica B, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo Uruguay, Av. Italia S/N, 11600, Montevideo, Uruguay; Departamento de Cirugía MUCAM, Montevideo Uruguay. Av. 8 de Octubre 2492, 11600, Montevideo, Uruguay.

出版信息

Int J Surg Case Rep. 2021 Mar;80:105646. doi: 10.1016/j.ijscr.2021.105646. Epub 2021 Feb 15.

DOI:10.1016/j.ijscr.2021.105646

PMID:33631647

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7907468/

Abstract

INTRODUCTION AND IMPORTANCE

Pericardial involvement due to gastric cancer is uncommon, especially when it is secondary to direct tumor infiltration. Its manifestation as cardiac tamponade is an exceptional situation that represents a challenge for the treating medical team.

CASE PRESENTATION

a case of a patient with advanced gastric cancer with cardiopericardial infiltration, complicated with cardiac tamponade is reported. A narrative review of the diagnostic and therapeutic management was performed.

CLINICAL DISCUSSION

There are no well-established diagnostic and therapeutic algorithms.

CONCLUSIONS

It is such an exceptional entity that most of the available bibliography is based on case reports or expert opinions. It is a situation with a very bad prognosis.

摘要