%0 Journal Article
%T Recurrent Cardiac Tamponade: An Unusual Presentation of Intrahepatic Cholangiocarcinoma
%A Beatrice Madrazo
%A Juan E. Corral
%A Leopoldo Arosemena
%A Liege I. Diaz
%A Monica T. Garcia-Buitrago
%A Paul Martin
%J Archive of "ACG Case Reports Journal".
%D 2016
%R 10.14309/crj.2016.51
%X A 48-year-old Egyptian woman presented with 8 months of sharp right upper chest pain and weight loss. She was discovered to have an enlarged cardiac silhouette on chest x-ray, and an echocardiogram revealed a large pericardial effusion with diastolic right atrial collapse. Pericardial window was done, and epithelial membrane antigen-positive neoplastic cells were identified in the pericardial fluid. Computed tomography showed a 6-cm hypermetabolic lesion on the liver segment IV, confirmed on biopsy to be a moderately differentiated adenocarcinoma consistent with intrahepatic cholangiocarcinoma
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843158/