Spontaneous Hemopericardium Leading to Cardiac Tamponade in a Patient with Essential Thrombocythemia

被引:3
作者
Deshmukh, Anand [1 ,2 ]
Subbiah, Shanmuga P. [3 ]
Malhotra, Sakshi [4 ]
Deshmukh, Pooja [4 ]
Pasupuleti, Suman [1 ]
Mohiuddin, Syed [1 ,4 ]
机构
[1] Creighton Univ, Med Ctr, Dept Cardiovasc Med, Omaha, NE 68131 USA
[2] Creighton Cardiac Ctr, Omaha, NE 68131 USA
[3] Creighton Univ, Med Ctr, Dept Hematol & Oncol, Omaha, NE 68131 USA
[4] Creighton Univ, Med Ctr, Dept Internal Med, Omaha, NE 68131 USA
关键词
D O I
10.4061/2011/247814
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute cardiac tamponade requires urgent diagnosis and treatment. Spontaneous hemopericardium leading to cardiac tamponade as an initial manifestation of essential thrombocythemia (ET) has never been reported in the literature. We report a case of a 72-year-old Caucasian female who presented with spontaneous hemopericardium and tamponade requiring emergent pericardiocentesis. The patient was subsequently diagnosed to have ET. ET is characterized by elevated platelet counts that can lead to thrombosis but paradoxically it can also lead to a bleeding diathesis. Physicians should be aware of this complication so that timely life-saving measures can be taken if this complication arises.
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