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Cardiac tamponade due to advanced gastric cancer: case report and review
Sofía Mansilla1, Nicolás Muniz2, Camila Haro1
1Clínica Quirúrgica B, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo Uruguay, Av. Italia S/N, 11600, Montevideo, Uruguay.
Insights
Gastric cancer rarely spreads to the pericardium, and even more rarely causes cardiac tamponade. This rare condition presents significant diagnostic and treatment challenges with a poor prognosis.
Area of Science:
- Oncology
- Cardiology
- Gastroenterology
Background:
- Pericardial involvement from gastric cancer is rare, particularly via direct tumor infiltration.
- Cardiac tamponade as a manifestation of pericardial metastasis from gastric cancer is exceptionally uncommon.
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.
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