Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism

<table class="table-group" id="tab1"><tr><td><table class="table"><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr><td class="align_left">Day 0</td><td class="align_center">Patient undergoes surgical pericardial window, complicated postoperatively by left-sided pneumothorax that required chest tube placement. Thyroid replacement therapy started</td></tr><tr><td class="align_left">Day 1</td><td class="align_center">Paracentesis performed, with removal of 3 liters of fluid</td></tr><tr><td class="align_left">Day 2</td><td class="align_center">Resolution of pneumothorax with removal of the chest tube</td></tr><tr><td class="align_left">Day 5</td><td class="align_center">Discharged home on strict instructions to adhere to thyroid medication and follow-up with cardiology, obstetrics and gynecology, and endocrinology</td></tr><tr><td class="align_left">Day 37</td><td class="align_center">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</td></tr><tr class="table-tr"><td colspan="2"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Case Reports in Cardiology

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Table 1

Table 1: Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism 