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Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 88-90

Unexplained recurrent pericardial effusion in a young adult male: Think beyond tuberculosis

1 Department of CTVS, AIIMS, Rishikesh, Uttarakhand, India
2 Department of Cardiology, AIIMS, Rishikesh, Uttarakhand, India
3 Department of General Medicine, AIIMS, Rishikesh, Uttarakhand, India
4 Department of Anaesthesia, AIIMS, Rishikesh, Uttarakhand, India

Correspondence Address:
Dr. Anshuman Darbari
Department of CTVS, AIIMS, Rishikesh - 249 203, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/rcm.rcm_39_21

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Pericardial effusion is usually caused by infection, fluid overload states, connective tissue disorders, heart surgery, aortic dissection, and malignancy. When a patient presents with recurrent isolated pericardial effusion accompanied by a nonspecific history and negative laboratory tests, it can pose a diagnostic dilemma to the clinician. Primary malignant tumors of the pericardium are sporadic, and most primary malignant pericardial tumors are mesotheliomas. We report the case of a young adult male with recurrent pericardial effusion and no specific clinical clues enabling an early diagnosis, which later turned out to be caused by a primary angiosarcoma of the pericardium.

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