This case highlights a rare etiology of effusive-constrictive pericarditis caused by poorly differentiated carcinoma of the mediastinum.
Consider occult malignancy in refractory effusive-constrictive pericarditis; case report extends differential but leaves management questions open.
A 33-year-old male developed subacute effusiveconstrictive pericarditis with recurrent pleural effusions and mediastinal lymphadenopathy. He was found to have poorly differentiated carcinoma of the mediastinum that led to constrictive physiology not amenable to medical or surgical management, ultimately requiring hospice. This case was remarkable for its rare etiology and presentation.
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Wallis et al. (2021) studied this question.
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