Case Report
| ||||||
Cardiac tamponade as the initial presentation of Hodgkin's lymphoma in a young female | ||||||
Miguel González1, Amado Karduss-Urueta2, Laura Gutiérrez3, Juan Alejo Jiménez3, Rosendo Pérez2 | ||||||
1Internal Medicine Resident, Internal Medicine Department, Rutgers New Jersey Medical School, Newark, New Jersey, United States.
2Bone Marrow Transplantation, Instituto de Cancerología-Clínica las Américas, Medellín, Colombia. 3Instituto de Cancerología-Clínica las Américas, Medellín, Colombia. | ||||||
| ||||||
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] |
How to cite this article |
Gonzalez M, Karduss-Urueta A, Gutiérrez L, Jimenez JA, Perez R. Cardiac tamponade as the initial presentation of Hodgkin's's lymphoma in a young female. Int J Case Rep Images 2015;6(11):686–689. |
Abstract
|
Introduction:
Hodgkin's's lymphoma can affect the heart both as primary and as a metastatic condition. Pericardial compromise is a common finding over the course of the disease, and the manifestations can range from pericarditis to pericardial tamponade. Pericardial tamponade is a life-threatening condition that requires immediate treatment, and is rarely the initial presentation of Hodgkin's's lymphoma. We present a case of a young female with Hodgkin's's lymphoma initially presenting as acute pericardial tamponade.
Case Report: A 20-year-old female presented with acute shortness of breath. At presentation she was hypotensive, tachycardic, and tachypneic. Chest X-ray showed an enlarged mediastinum, without enlarged cardiac silhouette. Bedside transthoracic echocardiography demonstrated massive pericardial effusion with cardiac tamponade. The patient was in critical condition, and a pericardial window was performed. After the procedure she was hemodynamically stable. Positron emission tomography scan and computed tomography evidenced a ganglionar conglomerate in the mediastinum and supraclavicular area. An excisional biopsy of a neck lymph node confirmed classical Hodgkin's's lymphoma. She was started with standard chemotherapy induction. At the time of the report the patient is doing well with favorable response to the treatment, and without any clinical evidence of systemic or cardiac recurrence. Conclusion: Pericardial involvement is frequent over the course of Hodgkin's lymphoma. Pericardial tamponade is rarely the initial presentation of Hodgkin's's lymphoma. A team approach is necessary for favorable outcome. Treatment consists of stabilizing the patient by relieving the tamponade, followed by systemic chemotherapy treatment for the underlying malignancy and to prevent recurrence. | |
Keywords:
Cardiac tamponade, Hodgkin's's lymphoma, Malignant pericardial effusion, Pericardial window
|
[HTML Full Text]
[PDF Full Text]
|
Author Contributions
Miguel González – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Amado Karduss-Urueta – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Laura Gutiérrez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Juan Alejo Jiménez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Rosendo Pérez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
Guarantor of submission
The corresponding author is the guarantor of submission. |
Source of support
None |
Conflict of interest
Authors declare no conflict of interest. |
Copyright
© 2015 Miguel Gonzalez et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|