A Case of Pericardial Tamponade Caused from Pericardial Metastasis of Rectal Cancer

Takumi Sakakibara, Shinnosuke Niwa, Souki Hibino, Kenji Oshima, Akihiro Ito and Satoshi Sakakibara

Department of Surgery, Toki General Hospital

Pericardial tamponade due to pericardial metastasis from rectal cancer is extremely rare. We report a case of pericardial tamponade caused by such metastasis. A 54-year-old man who had undergone Miles operation for rectal cancer about one year earlier, and admitted to the hospital for severe cough and dyspnea, was found in computed tomography (CT) of the chest to have effusion of the pericardial space diagnosed with cardiac tamponade. Pericardiocentesis was carried out, and the cytology of the effusion showed class V. He was treated with intrapericardial chemotherapy using adriamycin and OK-432, and has not suffered from pericardial effusion since chemotherapy. Intrachemocardial chemotherapy using adriamycin and OK-432 is thus useful in treating malignant pericardial effusion.

Key words
rectal cancer, carciomatous pericarditis, cardiac tamponade

Reprint requests
Takumi Sakakibara Department of Surgery, Toki General Hospital
703-24 Tokiguchi, Tokitu-machi, Toki, 509-5193 JAPAN

Accepted
September 24, 2008

To read the PDF file you will need Abobe Reader installed on your computer.