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Case Reports in Medicine
Volume 2016, Article ID 6162732, 3 pages
http://dx.doi.org/10.1155/2016/6162732
Case Report

Pericardial Metastasis Induced Tamponade from Urothelial Carcinoma: A Rare Entity

Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Avenue, Perth Amboy, NJ 07733, USA

Received 4 November 2015; Accepted 30 March 2016

Academic Editor: Omer Faruk Dogan

Copyright © 2016 Rafay Khan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urothelial carcinoma in a few cases may result in cardiac metastasis. A rare presentation of this condition is its diagnosis as a result of cardiac tamponade. Tamponade is an unusual entity as a result of urothelial carcinoma and has only been reported in four cases. There have also been only a total of fifteen cases of cardiac metastasis from this form of malignancy. It is through this discussion that we emphasize the importance of early detection and monitoring of cardiac symptoms with the implementation of echocardiogram imaging. Although not feasible in all patients it may be considered in those presenting with cardiac and pulmonary symptoms. In this case we discuss the presentation of a 71-year-old gentleman with a history of urothelial carcinoma after cystectomy and while on chemotherapy presented with new onset atrial fibrillation and later was diagnosed with cardiac tamponade as a result of malignant metastasis.