Key result
Pericardiocentesis temporarily relieves cardiac tamponade from rectal cancer metastasis before death at 23 days.
Why the study?
Colorectal cancer rarely develops pericardial metastasis, and cardiac tamponade due to metastasis during life is an extremely rare occurrence.
Case Report (n=1)
Pericardial metastasis should be considered in patients with advanced colorectal cancer presenting with dyspnea.
Pericardiocentesis may temporize tamponade from rectal cancer metastasis; leaves open optimal palliation in advanced colorectal disease.
Colorectal cancer rarely develops pericardial metastasis, and it is an extremely rare case that cardiac tamponade due to the metastasis of colorectal cancer during life. Our case is of a 50-year-old woman who underwent laparoscopic lower anterior resection for the rectal cancer with lung metastasis 4 years ago developed cardiac tamponade due to pericardial metastasis of rectal cancer. We performed pericardiocentesis as a temporary life-saving procedure, but pericardial fluid re-accumulated within a few days. She died 23 days after admission. When a patient with advanced colorectal cancer complains dyspnea, we should consider the pericardial metastasis, and perform the proper treatment as this case.
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Takano et al. (2023) conducted a case report in Cardiac tamponade due to pericardial metastasis of rectal cancer (n=1). Pericardiocentesis was evaluated on Clinical outcome. Pericardiocentesis served as a temporary life-saving procedure for a 50-year-old woman with cardiac tamponade from rectal cancer metastasis, though she died 23 days after admission.
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