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"Floating arm" injury in a child with fractures of the proximal and distal parts of the humerus: a case report |
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| Authors: | Melih Güven Budak Akman Tanzer Kormaz O?uz Poyanl? Faik Alt?nta? |
| Institution: | 1. Department of Cardiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr-University Bochum, D-32545, Bad Oeynhausen, Germany 2. Department of Cardiology and Angiology (Medizinische Klinik II), Marienhospital Herne, Ruhr-University Bochum, D-44627, Herne, Germany 3. Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany 4. Institute of Pathology, Ruhr-University Bochum, Berufsgenossenschaftliche Universit?tsklinik Bergmannsheil (Deutsches Mesotheliomregister), D-44789, Bochum, Germany |
| Abstract: | IntroductionPrimary malignant pericardial mesothelioma is a very rare pericardial tumor of unknown etiology.Case presentationA 61-year-old Caucasian woman was admitted to our hospital complaining of exertional dyspnea due to a large pericardial effusion. Intrapericardial fluid volume declined after repeated pericardiocentesis, but the patient progressively developed a hemodynamically relevant pericardial constriction. Pericardiectomy revealed a pericardial mesothelioma. Subsequently, four cycles of chemotherapy (dosage according to recently published trials) were administered. The patient remained asymptomatic, and there was no recurrence of the tumor after three years.ConclusionPericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course. |
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