Key result
Exploratory surgery reveals angiosarcoma as the cause of recurrent hemopericardium after standard tests fail.
Why the study?
Recurrent hemopericardium with unclear etiology despite standard diagnostic procedures presents a clinical challenge requiring further investigation.
Angiosarcoma should be considered as a rare cause of recurrent hemopericardium, which may require exploratory surgery for definitive diagnosis when standard imaging is unrevealing.
Answers are grounded in this paper and cite their sources.
Consider angiosarcoma in recurrent hemopericardium after negative imaging; this case leaves open the role of exploratory surgery.
The case concerns a female presenting with dyspnoea resulting from recurrent hemopericardium. Pericardiocentesis, coronary angiography, and extensive laboratory and imaging studies did not reveal the underlying etiology of the hemopericardium. Only after repeat and exploratory surgery, diffuse venous pericardial hemorrhages with localized thrombi typical of angiosarcoma were discovered.
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Nguyên et al. (2021) studied this question. Repeat and exploratory surgery revealed angiosarcoma as the underlying cause of recurrent hemopericardium after extensive laboratory and imaging studies failed to identify the etiology.
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