Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dy...

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Bibliographic Details
Main Authors: Morad Tajjiou, Wolfgang Wild, Nasir Sayed, Alexander Flauaus, Markus Divo, Matthias Schwarzbach
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/2896810
Description
Summary:This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dyspnea, lower leg oedema), pericardial effusion, and pericarditis. Echocardiography in the identification of pericardial mesotheliomas is low. In this case, the cardiac function could be imaged well, but the tumor could not be imaged. The CT showed a pericardial effusion and a pleural effusion. Here, the tumor could not be diagnosed either. Only the operation led to diagnosis.
ISSN:2090-6900
2090-6919