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Case Reports
. 2015 Sep;49(3):281-3.
doi: 10.1016/j.jemermed.2015.04.024. Epub 2015 Jul 3.

Malignant Pericardial Effusion in Ovarian Malignancy: A Treatable Oncologic Emergency

Tamar Perri  1 , Daniel Lantsberg  1 , Gilad Ben-Baruch  1 , Mario E Beiner  1 , Ariella Jakobson-Setton  1 , Jacob Korach  1
Affiliations
Case Reports

Malignant Pericardial Effusion in Ovarian Malignancy: A Treatable Oncologic Emergency

Tamar Perri et al. J Emerg Med. 2015 Sep.

Abstract

Background: Pericardial tamponade is a life-threatening condition that can occur, albeit rarely, in patients with ovarian cancer. Whether or not prolonged survival is possible after such an event is debatable. Our aim was to describe our experience with seven ovarian cancer patients who experienced malignant cardiac tamponade at tumor diagnosis or at recurrence.

Case report: Six patients were treated with pericardiocentesis and one with pericardial fenestration. Survival after tamponade ranged from 3 to 72 weeks. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We suggest that when pericardial effusion occurs in patients with recurrent ovarian cancer, timely diagnosis and proper management might allow palliation and prolongation of life.

Keywords: cardiac tamponade; malignant pericardial effusion; ovarian cancer.

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