Carcinoid constrictive pericarditis

A 78 year old man presented with diarrhoea, anorexia, and progressive lower limb oedema. He was in atrial fibrillation and had a right pleural effusion and ascites. Ultrasound of the abdomen and 24 hour urinary hydroxyindoleacetic acid output indicated metastatic carcinoid syndrome. Cardiac catheter...

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Veröffentlicht in:Heart (British Cardiac Society) 1999-11, Vol.82 (5), p.641-643
Hauptverfasser: Johnston, S D, Johnston, P W, O'Rourke, D
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creator Johnston, S D
Johnston, P W
O'Rourke, D
description A 78 year old man presented with diarrhoea, anorexia, and progressive lower limb oedema. He was in atrial fibrillation and had a right pleural effusion and ascites. Ultrasound of the abdomen and 24 hour urinary hydroxyindoleacetic acid output indicated metastatic carcinoid syndrome. Cardiac catheterisation revealed pericardial constriction, and pericardial exploration showed a greatly thickened pericardium with no evidence of tumour invasion. The patient died within 24 hours of surgery. Necropsy findings were consistent with a diagnosis of constrictive pericarditis secondary to metastatic carcinoid syndrome.
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He was in atrial fibrillation and had a right pleural effusion and ascites. Ultrasound of the abdomen and 24 hour urinary hydroxyindoleacetic acid output indicated metastatic carcinoid syndrome. Cardiac catheterisation revealed pericardial constriction, and pericardial exploration showed a greatly thickened pericardium with no evidence of tumour invasion. The patient died within 24 hours of surgery. Necropsy findings were consistent with a diagnosis of constrictive pericarditis secondary to metastatic carcinoid syndrome.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.82.5.641</identifier><identifier>PMID: 10525526</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Abdomen ; Aged ; Biological and medical sciences ; carcinoid syndrome ; Cardiology. 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Vascular system</subject><subject>Cardiovascular disease</subject><subject>Case Report</subject><subject>Congenital diseases</subject><subject>constrictive pericarditis</subject><subject>Coronary vessels</subject><subject>Diarrhea</subject><subject>Diseases of the pericardium</subject><subject>Heart</subject><subject>Histology</subject><subject>Hormones</subject><subject>Humans</subject><subject>Ileal Neoplasms - complications</subject><subject>Ileal Neoplasms - pathology</subject><subject>Liver</subject><subject>liver metastases</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - secondary</subject><subject>Long QT syndrome</subject><subject>Male</subject><subject>Malignant Carcinoid Syndrome - complications</subject><subject>Malignant Carcinoid Syndrome - pathology</subject><subject>Medical sciences</subject><subject>Metastasis</subject><subject>Mortality</subject><subject>Peptides</subject><subject>Pericarditis, Constrictive - complications</subject><subject>Pericarditis, Constrictive - pathology</subject><subject>Pericardium - pathology</subject><subject>Thyroid gland</subject><subject>Tuberculosis</subject><subject>Tumors</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp90M9PFDEUB_DGSAQWbp4NCQYvzNof077uxcRMdMGAHkSzt-ZN25GuszNrO0vgv7dkNogcOPUl75NvXr-EvGZ0yphQ76_jMNV8KqeqZC_IHiuVLjhli5d5FlIWigrYJfspLSml5UyrV2SXUcml5GqPHFcYbej64I5s36UhBjuEG3-09nnC6MIQ0gHZabBN_nD7TsiPz5-uqrPi4tv8vPp4UdSSwlAIUXJtZWkdOKtt42UtoZSCwayhyGuFGtBqoA5YgxQVcic81rXjvpHOign5MOauN_XKO-u7IWJr1jGsMN6ZHoP5f9OFa_OrvzEMFAWlc8DJNiD2fzY-DWYVkvVti53vN8kA1VJzuIfHT-Cy38Qufy5naQr5yNzthJyOysY-peibh1MYNffdm9y90dxIk7vP_M3j8x_hsewM3m4BJottE7GzIf1zMwA5g8yKkYU0-NuHNcbfRoEAab7-rMyXeTW_XMy_m0X270Zfr5bPX_gXpQCpHQ</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Johnston, S D</creator><creator>Johnston, P W</creator><creator>O'Rourke, D</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19991101</creationdate><title>Carcinoid constrictive pericarditis</title><author>Johnston, S D ; Johnston, P W ; O'Rourke, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b507t-33428c54cd7dc8cfe5b57453179f0a2b6a87ac870d71fa0a6a2d3eabbd2ef5dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Abdomen</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>carcinoid syndrome</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Case Report</topic><topic>Congenital diseases</topic><topic>constrictive pericarditis</topic><topic>Coronary vessels</topic><topic>Diarrhea</topic><topic>Diseases of the pericardium</topic><topic>Heart</topic><topic>Histology</topic><topic>Hormones</topic><topic>Humans</topic><topic>Ileal Neoplasms - complications</topic><topic>Ileal Neoplasms - pathology</topic><topic>Liver</topic><topic>liver metastases</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - secondary</topic><topic>Long QT syndrome</topic><topic>Male</topic><topic>Malignant Carcinoid Syndrome - complications</topic><topic>Malignant Carcinoid Syndrome - pathology</topic><topic>Medical sciences</topic><topic>Metastasis</topic><topic>Mortality</topic><topic>Peptides</topic><topic>Pericarditis, Constrictive - complications</topic><topic>Pericarditis, Constrictive - pathology</topic><topic>Pericardium - pathology</topic><topic>Thyroid gland</topic><topic>Tuberculosis</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnston, S D</creatorcontrib><creatorcontrib>Johnston, P W</creatorcontrib><creatorcontrib>O'Rourke, D</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnston, S D</au><au>Johnston, P W</au><au>O'Rourke, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carcinoid constrictive pericarditis</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>82</volume><issue>5</issue><spage>641</spage><epage>643</epage><pages>641-643</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>A 78 year old man presented with diarrhoea, anorexia, and progressive lower limb oedema. 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subjects Abdomen
Aged
Biological and medical sciences
carcinoid syndrome
Cardiology. Vascular system
Cardiovascular disease
Case Report
Congenital diseases
constrictive pericarditis
Coronary vessels
Diarrhea
Diseases of the pericardium
Heart
Histology
Hormones
Humans
Ileal Neoplasms - complications
Ileal Neoplasms - pathology
Liver
liver metastases
Liver Neoplasms - pathology
Liver Neoplasms - secondary
Long QT syndrome
Male
Malignant Carcinoid Syndrome - complications
Malignant Carcinoid Syndrome - pathology
Medical sciences
Metastasis
Mortality
Peptides
Pericarditis, Constrictive - complications
Pericarditis, Constrictive - pathology
Pericardium - pathology
Thyroid gland
Tuberculosis
Tumors
title Carcinoid constrictive pericarditis
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