A rare case of pancreatic adenocarcinoma accompanied by venous thrombosis, pleural and pericardial effusions

Pancreatic cancer is a deadly type of cancer with few symptoms until metastasis. It poses a high risk of cancer-associated thrombosis. A 73-year-old male presented with fatigue, shortness of breath, weight loss since 9 months, and blood clots recently in his legs. Chest radiography revealed fluid ac...

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Bibliographic Details
Published in:Annals of medicine and surgery 2024-04, Vol.86 (4), p.2277-2280
Main Authors: Shawakh, Husam, Bdeiwi, Hassan, Aljundi, Rashed, Kashkash, Fateh, Khoury, Abdullah
Format: Article
Language:English
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Case Reports
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Summary:Pancreatic cancer is a deadly type of cancer with few symptoms until metastasis. It poses a high risk of cancer-associated thrombosis. A 73-year-old male presented with fatigue, shortness of breath, weight loss since 9 months, and blood clots recently in his legs. Chest radiography revealed fluid accumulation in pleural and pericardial cavities. Later, a fluid examination revealed the presence of malignant cells in the pericardial fluid. After immunological tests and an upper gastrointestinal endoscopy were performed, a pancreatic tumour was suspected. The patient was administered anticoagulant treatment and palliative care, which resulted in improvement after one month. Pancreatic adenocarcinoma is a highly aggressive cancer with a strong tendency to metastasize, leading to pericardial and pleural effusion, thrombophlebitis, and poor prognosis. This case indicates that venous thrombosis, pleural and pericardial effusions could be symptoms related to a pancreatic tumour.
ISSN:2049-0801
2049-0801
DOI:10.1097/MS9.0000000000001870