Martínez Albaladejo M, Barnes Sosa M, Tejedor Cabrera L, García López B, Alguacil García G, Serrano Corredor S
Servicio de Medicina Interna, Hospital Comarcal del Noroeste, Caravaca de la Cruz, Murcia.
An Med Interna. 1995 Feb;12(2):82-4.
The finding of a cardiac tamponade (CT) as initial manifestation of lung cancer is rare, being its most frequent manifestations dyspnea, cough and edemas. The presence of alithiasic acute cholecystitis (AAC) as early manifestation of CT is extremely rare, despite this having being described related to other situations of low cardiac output. We present the case of a patient who underwent emergency surgery due to AAC as a form of presentation of CT, this being the initial manifestation of a pulmonary adenocarcinoma. The histopathological study of the liver and the vesicle were compatible with signs of short evolution venous stasis, and the diagnosis was established through pericardium biopsy and thoracic CAT.
以心脏压塞（CT）作为肺癌的初始表现较为罕见，其最常见的表现为呼吸困难、咳嗽和水肿。尽管已有文献报道急性非结石性胆囊炎（AAC）与其他心输出量降低的情况有关，但以AAC作为CT的早期表现极为罕见。我们报告一例患者，其因AAC作为CT的一种表现形式而接受急诊手术，而这是肺腺癌的初始表现。肝脏和胆囊的组织病理学研究与短期进展性静脉淤滞的体征相符，诊断通过心包活检和胸部计算机断层扫描（CAT）得以确立。
