Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism
Table 1
Timeline.
Day 0
Patient undergoes surgical pericardial window, complicated postoperatively by left-sided pneumothorax that required chest tube placement. Thyroid replacement therapy started
Day 1
Paracentesis performed, with removal of 3 liters of fluid
Day 2
Resolution of pneumothorax with removal of the chest tube
Day 5
Discharged home on strict instructions to adhere to thyroid medication and follow-up with cardiology, obstetrics and gynecology, and endocrinology
Day 37
Outpatient follow-up showed downtrending of CA-125 levels. Follow-up echocardiogram revealed no recurrence of pericardial effusion. Thyroid hormone levels were within the normal range