Symptom resolution by pericardial drainage in a terminal cancer patient with pericardial abscess following pericardial emphysema
10.2512/jspm.3.321
- VernacularTitle:心嚢ドレナージにより症状緩和を行った心嚢気腫から心嚢膿瘍をきたしたがん終末期症例
- Author:
Yuki Ichiraku
;
Tetsushi Fukushige
;
Shin-ichi Yamada
;
Yoko Oishi
;
Tomomi Sano
;
Tatsuhiko Kano
- Publication Type:Journal Article
- Keywords:
pericardial emphysema;
pericardial abscess;
pericardial drainage
- From:Palliative Care Research
2008;3(2):321-325
- CountryJapan
- Language:Japanese
-
Abstract:
A 42-year-old man with primary tongue cancer was admitted to our palliative care center for the control of pain due to multiple bone metastases. On 30th day after admission, he was suffering from pneumonia. And on 37th day, chest radiograph demonstrated pericardial emphysema, which developed to the pericardial abscess. Chest Computed Tomography showed lymph nodes metastases around the left main bronchus, and revealed that there was a fistula between the left main bronchus and the pericardium. The patient was faced to the difficulty in taking spine position because of excessive excretion of the sputum. Pericardiocentesis was then performed percutaneously and a tube for the drainage was placed. After the placement of drain tube, he restored good night sleep in the spine position and the complaints were reduced. Palliat Care Res 2008; 3(2): 321-325
