Table 1 Case summary
From: Marked hemopneumopericardium in a patient with rectal cancer with distant metastasis: a case report
Age, years | 47 years old |
Gender | Female |
Presenting complaint | Worsening dyspnea for 2 weeks associated with productive cough with yellow sputum |
Physical examination | Tachypnea, respiratory system examination revealed dullness associated with reduced breath sound on the left side |
Labs (abnormal results) | Leukocytosis with a white blood cell count of 13,000/cm2, C-reactive protein (CRP) levels of 116 mg/L |
Chest X-ray | Severe hydro-pneumopericardium, total opacification of the left lung, and air space consolidation |
CT scan | Heterogeneous soft tissue mass involving left upper and lower lung, with the mass invading the pleural surface and pericardium |
Diagnosis | Hemopneumopericardium |
Therapeutic intervention: | Emergency pericardiocentesis |
Follow up after 1 week | She was admitted for poor feeding after 1 week and discharged after 5 days |
Follow-up after 3 weeks | Three weeks later, the patient’s primary malignancy progressed, and the patient died |