Journal of Cardiovascular Imaging

  • 제20권1호
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  • Pages.57-59
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  • 2012
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  • 2586-7210(pISSN)
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  • 2586-7296(eISSN)
한국심초음파학회 (Korean Society of Echocardiography)
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PRIMARY MALIGNANT PERICARDIAL MESOTHELIOMA PRESENTING AS ACUTE PERICARDITIS

  • Choi, Won-Suk (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Im, Moon-Sun (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Kang, Ji-Hun (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Kim, Yun-Gi (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Hwang, In-Chang (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Lee, Ju-Myung (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Lee, Soryung (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Shin, Hyo-Sun (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Lee, Seung-Pyo (Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Cho, Goo-Yeong (Department of Internal Medicine, Seoul National University College of Medicine, Cardiovascular Center, Seoul National University Bundang Hospital)
  • 투고 : 2011.10.25
  • 심사 : 2012.02.16
  • 발행 : 2012.03.27
⟨ 이전 논문 다음 논문 ⟩

초록

We report on a 21-year-old man with fever, dyspnea, and pleuritic chest pain. An electrocardiography showed ST elevation in multiple lead and thoracic echocardiography revealed moderate pericardial effusion. He was initially diagnosed with acute pericarditis, and treated with nonsteroidal anti-inflammatory drugs and colchicines with clinical and laboratory improvement. After 1 month of medication, his symptoms recurred. An echocardiography showed constrictive physiology and the patient was treated with steroid on the top of current medication. The patient had been well for 7 months until dyspnea and edema developed, when an echocardiography showed marked increased pericardial thickness and constriction. Pericardial biopsy was performed and primary malignant pericardial mesothelioma was diagnosed. Malignancy should be considered in the differential diagnosis of recurrent pericarditis.

키워드

피인용 문헌

  1. Cardiac Tumors: Echocardiographic Diagnosis and Forensic Correlations vol.37, pp.4, 2012, https://doi.org/10.1097/paf.0000000000000271
  2. Positive response of a primary malignant pericardial mesothelioma to pemetrexed plus cisplatin followed by pemetrexed maintenance chemotherapy: A case report vol.12, pp.1, 2012, https://doi.org/10.3892/ol.2016.4598
  3. Pericardial mesothelioma presenting as chronic constrictive pericarditis. A series of three cases from a single institution vol.61, pp.4, 2012, https://doi.org/10.4103/ijpm.ijpm_711_17