Image in cardiology
Meigs-like syndrome presenting as cardiac tamponade
Síndrome de Meigs-like apresentada como tamponamento cardíaco
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"referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "María José" "apellidos" => "Dalmau-Sorli" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "María Encarnación" "apellidos" => "Bueno-Codoñer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Javier" "apellidos" => "Arnáiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Cardiac Surgery Department, University Hospital of Salamanca, Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Radiology Department, University Hospital Marqués de Valdecilla, Santander, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Meigs-like apresentada como tamponamento cardíaco" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2621 "Ancho" => 2334 "Tamanyo" => 351242 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A: Anteroposterior chest X-ray showing mild bilateral pleural effusion and massive bottle-shaped heart manifesting severe cardiomegaly; B: Two-dimensional echocardiography showing a 3-cm global pericardial effusion (arrow) and signs of cardiac tamponade; C: Pelvic computed tomography showing a right ovarian tumor, a fibroma (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old woman with a history of hypertension was admitted to our institution due to severe dyspnea. On physical examination tachypnea, hypotension, and bilateral jugular distension were detected. The electrocardiogram showed sinus tachycardia. Chest radiography revealed mild bilateral pleural effusions and severe cardiomegaly (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A). An echocardiogram showed a 3-cm global pericardial effusion with signs of cardiac tamponade (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B). Due to the patient's clinical instability, drainage of the pericardial effusion was mandatory, but pericardiocentesis was unsuccessful due to catheter obstruction, and so surgical drainage was performed through a pleuropericardial window. Cytology and pericardial biopsy detected no malignant cells. Abdominal computed tomography showed ascites and a 3 cm × 4 cm ovarian fibroma (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C). Given the benign nature of the tumor, an expectant attitude was adopted.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The triad of ascites, hydrothorax and a benign ovarian tumor defines a rare clinical entity termed Meigs syndrome. However, ascites and hydrothorax have been also reported in the presence of tumors located in the uterus, tubes or colon. Such variants have been termed pseudo-Meigs syndrome.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a> Subsequently a new variant appeared, known as Meigs-like syndrome,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> which associates pericardial effusion with the original definition of Meigs syndrome. The origin of the fluid accumulations is unknown; inflammatory cytokines and hormonal or tumoral stimulation are possible etiologies.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Dyspnea, jugular distension and hypotension suggest the presence of pericardial effusion and cardiac tamponade is its acute presentation. The diagnosis is confirmed by echocardiography and pericardial drainage is indicated. An abdominal CT scan can confirm the presence of an ovarian tumor. It is mandatory to exclude an ovarian tumor in any woman with unexplained pericardial effusion.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-11-21" "fechaAceptado" => "2012-12-14" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2621 "Ancho" => 2334 "Tamanyo" => 351242 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A: Anteroposterior chest X-ray showing mild bilateral pleural effusion and massive bottle-shaped heart manifesting severe cardiomegaly; B: Two-dimensional echocardiography showing a 3-cm global pericardial effusion (arrow) and signs of cardiac tamponade; C: Pelvic computed tomography showing a right ovarian tumor, a fibroma (arrow).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fibroma of the ovary with ascites and hydrothorax; Meigs’ syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.V. Meigs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1954" "volumen" => "67" "paginaInicial" => "962" "paginaFinal" => "987" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13148256" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Meig's or Pseudomeig's syndrome?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C. Iavazzo" 1 => "G. Vorgias" 2 => "D. 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Legge" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ygyno.2004.03.045" "Revista" => array:6 [ "tituloSerie" => "Gynecol Oncol" "fecha" => "2004" "volumen" => "94" "paginaInicial" => "226" "paginaFinal" => "228" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15262148" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resolution of pericardial effusion after removal of ovarian fibroma – a Meigs’-like syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Qaisar" 1 => "F. Osman" 2 => "M. Pitt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1258/jrsm.98.7.313" "Revista" => array:6 [ "tituloSerie" => "J R Soc Med" "fecha" => "2005" "volumen" => "98" "paginaInicial" => "313" "paginaFinal" => "314" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15994592" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of inflammatory cytokines in Meigs’ syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "Y. Abramov" 1 => "S.O. Anteby" 2 => "S.J. Fasouliotis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "2002" "volumen" => "99" "paginaInicial" => "917" "paginaFinal" => "991" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11975958" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003200000006/v1_201308011249/S2174204913001499/v1_201308011249/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003200000006/v1_201308011249/S2174204913001499/v1_201308011249/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001499?idApp=UINPBA00004E" ]
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| 2017 September | 20 | 6 | 26 |
| 2017 August | 39 | 10 | 49 |
| 2017 July | 24 | 7 | 31 |
| 2017 June | 28 | 3 | 31 |
| 2017 May | 33 | 7 | 40 |
| 2017 April | 37 | 7 | 44 |
| 2017 March | 45 | 31 | 76 |
| 2017 February | 47 | 4 | 51 |
| 2017 January | 47 | 1 | 48 |
| 2016 December | 35 | 12 | 47 |
| 2016 November | 22 | 11 | 33 |
| 2016 October | 21 | 10 | 31 |
| 2016 September | 45 | 2 | 47 |
| 2016 August | 11 | 1 | 12 |
| 2016 July | 10 | 2 | 12 |
| 2016 June | 12 | 1 | 13 |
| 2016 May | 19 | 3 | 22 |
| 2016 April | 19 | 1 | 20 |
| 2016 March | 26 | 4 | 30 |
| 2016 February | 40 | 12 | 52 |
| 2016 January | 32 | 7 | 39 |
| 2015 December | 17 | 3 | 20 |
| 2015 November | 34 | 5 | 39 |
| 2015 October | 41 | 8 | 49 |
| 2015 September | 33 | 5 | 38 |
| 2015 August | 29 | 6 | 35 |
| 2015 July | 17 | 4 | 21 |
| 2015 June | 14 | 1 | 15 |
| 2015 May | 21 | 8 | 29 |
| 2015 April | 35 | 7 | 42 |
| 2015 March | 21 | 3 | 24 |
| 2015 February | 19 | 2 | 21 |
| 2015 January | 40 | 2 | 42 |
| 2014 December | 39 | 9 | 48 |
| 2014 November | 19 | 1 | 20 |
| 2014 October | 26 | 3 | 29 |
| 2014 September | 18 | 3 | 21 |
| 2014 August | 29 | 4 | 33 |
| 2014 July | 46 | 8 | 54 |
| 2014 June | 21 | 5 | 26 |
| 2014 May | 33 | 12 | 45 |
| 2014 April | 52 | 6 | 58 |
| 2014 March | 48 | 12 | 60 |
| 2014 February | 55 | 16 | 71 |
| 2014 January | 51 | 12 | 63 |
| 2013 December | 40 | 6 | 46 |
| 2013 November | 58 | 13 | 71 |
| 2013 October | 37 | 7 | 44 |
| 2013 September | 50 | 19 | 69 |
| 2013 August | 78 | 17 | 95 |
Show all
