Volume 3, Issue 4, December 2019, Page: 94-98
Cardiac Tamponade from Pericardial Mesothelioma Causing Acute Renal Insufficiency in Dog
Sajika Seengam, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen, Nakorn Pathom, Thailand
Chattida Panprom, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen, Nakorn Pathom, Thailand
Pat Puncharoen, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen, Nakorn Pathom, Thailand
Soontaree Petchdee, Department of Large Animal and Wildlife Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen Nakorn Pathom, Thailand
Received: Oct. 28, 2019;       Accepted: Nov. 18, 2019;       Published: Nov. 22, 2019
DOI: 10.11648/j.ccr.20190304.14      View  24      Downloads  6
Abstract
Pericardial mesothelioma is a rare malignancy tumor in dog. Due to an aggressive tumor and low survival rates, mesothelioma is frequently diagnosed at an advanced stage. The objective of this clinical report is to highlight the characteristic of this malignancy tumor to help an early diagnosis and to improve the therapeutic outcomes of this neoplastic tumor. A 10-year-old crossbreed was referred to Kasetsart University Veterinary Teaching Hospital Kamphaengsaen for the evaluation of a history of abdominal distension, lethargy and weekness. During the physical examination, the dog was tachycardia and tachypnea. Ultrasonography imaging of spleen revealed an inhomogeneous appearance and thoracic radiograph showed cardiac enlargement. Electrocardigraphy examination revealed low voltage of QRS complex amplitude. A transthoracic echocardiogram showed a large pericardial effusion with cardiac tamponade and masses were visualized in pericardial sac. Pericardiocentesis was immediately performed to alleviate the cardiac tamponade and cytologic examination was performed to identify the characteristic of pericardial effusion fluid. Clinical symptoms of acute kidney injury were progressed from the second visit including azotemia, hyponatraemia, hyperkalemia and anuria. The dog died about 2 days after admission in the critical care unit. Histopathological examination of the pericardial fluid and pericardial mass confirmed the diagnosis of pericardial mesothelioma. Mesothelioma should be considered in the diagnosis of pericardial effusion in dog. An early stage detection of pericardial mesothelioma may significantly reduction in mortality and allow for more beneficial treatment.
Keywords
Cardiac Tamponade, Pericardial Tumor, Dog
To cite this article
Sajika Seengam, Chattida Panprom, Pat Puncharoen, Soontaree Petchdee, Cardiac Tamponade from Pericardial Mesothelioma Causing Acute Renal Insufficiency in Dog, Cardiology and Cardiovascular Research. Vol. 3, No. 4, 2019, pp. 94-98. doi: 10.11648/j.ccr.20190304.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Closa, J. M., A. Font, J. Mascort, (1999). Pericardial mesothelioma in a dog: long-term survival after pericardiectomy in combination with chemotherapy. J Small Anim Pract. 40, 383-386.
[2]
Feng, X., L. Zhao, G. Han, M. Khalil, F. Green, T. Ogilvie. (2012). A case report of an extremely rare and aggressive tumor: primary malignant pericardial mesothelioma. Rare Tumors. 2, e21.
[3]
Day, M. J., V. M. Lucke, H. Pearson, (1995). A review of pathological diagnoses made from 87 canine splenic biopsies. J Small Anim Prac. 36, 426-433.
[4]
D'Angelo, A. R., G. Francesco, G. R. Di Quaglione, G. Marruchella, (2014). Sclerosing peritoneal mesothelioma in a dog: histopathological, histochemical, and immunohistochemical investigations. Vet Ital. 50, 301-305.
[5]
Eren, N. T. and A. R. Akar, (2002). Primary pericardial mesothelioma, Current Treatment Options in Oncology. 3 (5), 369–373.
[6]
Kong, L., Z. Li, J. Wang, X Lv. (2018). Echocardiographic characteristics of primary malignant pericardial mesothelioma and outcomes analysis: a retrospective study. Cardiovasc Ultrasound. 16 (7), 1-8.
[7]
Smith, W. H., D. J. Beacock, A. J. Goddard, (2001). Magnetic resonance evaluation of the pericardium. Br J Radiol. 74 (880), 384-392.
[8]
Ikede, B. O., A. Zubaidy, C. W. Gill, (1980). Pericardial mesothelioma with cardiac tamponade in a dog. Vet Pathol. 17, 496–500.
[9]
MacGregor, J. M., M. L. E. Faria, A. S. Moore, A. H. Tobias, D. J. Brown, H. S. A. de Morais, (2005). Cardiac lymphoma and pericardial effusion in dogs: 12 cases (1994–2004). J. Am. Vet. Med. Assoc. 227, 1449–1453.
[10]
Imazio, M., B. M. Mayosi, A. Brucato, G. Markel, R. Trinchero, D. H. Spodick, Y. Adler, (2010). Triage and management of pericardial effusion. J Cardiovasc Med. 11, 928-935.
[11]
Sagrista`-Sauleda, J,, A, S, Merce, J., Soler-Soler, (2011). Diagnosis and management of pericardial effusion. World J Cardiol. 3, 135–143.
[12]
Garrett, L. D., Mesothelioma. In: Withrow S. J., D. M. Vail, R. L. Page, editors. Withrow and MacEwen’s Small Animal Clinical Oncology, 5th ed. Amsterdam: Elsevier (2013). p. 696–700.
[13]
Reggeti, F., B. Brisson, K. Ruotsalo, E. Southorn, D. Bienzle, (2005). Invasive epithelial mesothelioma in a dog. Vet Pathol. 42, 77–81.
[14]
Petrich, A., S. I. Cho, and H. Billett, (2011). Primary cardiac lymphoma: an analysis of presentation, treatment, and outcome patterns. Cancer. 117, 581–589.
[15]
Tong, L. J., S. L. Bennett, D. J. Thompson, S. L. Adsett, and R. E. Shiel, (2015). Right-sided congestive heart failure in a dog because of a primary intracavitary myocardial lymphoma. Aust. Vet. J. 93, 67–71.
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