{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:31:09Z","timestamp":1760027469131,"version":"3.40.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 64-year-old female was referred to the on-call surgical team by her general practitioner with a 2-week history of feeling generally unwell; more short of breath with lethargy and myalgia with a 2-day history of right upper quadrant abdominal pain. On initial assessment she was tachycardic and an abdominal examination revealed a soft abdomen with right upper quadrant tenderness. An abdominal ultrasound scan revealed a distended gall bladder with the diameter of the common bile duct at the upper limit of normal. It also revealed free fluid within the abdomen, bilateral pleural effusions and a large left ovarian cyst. The medical team became involved and ordered a CT thorax and abdomen which showed a large pericardial effusion, bilateral pleural effusions, a small amount of ascites and a large left ovary; reported as appearances most consistent with malignancy. On further assessment by a cardiologist the patient showed signs of cardiac tamponade and she underwent urgent pericardiocentesis.<\/jats:p>","DOI":"10.1136\/bcr-2012-007255","type":"journal-article","created":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T05:58:19Z","timestamp":1365659899000},"page":"bcr2012007255","source":"Crossref","is-referenced-by-count":3,"title":["A delayed diagnosis of cardiac tamponade"],"prefix":"10.1136","volume":"2013","author":[{"given":"Abigail","family":"McGinley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Gribbin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,10]]},"reference":[{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.1","unstructured":"Hoit D Hoit \u2018cardiac tamponade\u2019 Up To Date http:\/\/www.uptodate.com\/contents\/cardiac-tamponade (accessed 10 Feb 2013)."},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.2","unstructured":"Up To Date Corey R . \u2018Diagnosis and treatment of pericardial effusion\u2019 http:\/\/www.uptodate.com\/contents\/diagnosis-and-treatment-of-pericardial-effusion (accessed 16 May 2012)."},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.3","first-page":"398","article-title":"Pericardial tamponade and large pericardial effusions; causal factors and efficacy of percutaneous catheter drainage in 50 patients","volume":"2013","author":"Mehmet","year":"2004","journal-title":"Texas Heart Inst J"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.4","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1136\/pgmj.76.902.809","article-title":"Management of pericardial effusion by drainage: a survey of 10\u2005years experience in a city centre general hospital serving a multiracial population","volume":"2013","author":"Gibbs","year":"2000","journal-title":"Postgrad Med J"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.5","first-page":"117","article-title":"Pericardial tamponade presenting as abdominal pain in a patient with systemic lupus erythematous","volume":"2013","author":"Muniz","year":"2000","journal-title":"Case Rep CJEM"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.6","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1345\/aph.1R112","article-title":"Haemopericardium and cardiac tamponade associated with dabigatran use","volume":"2013","author":"Dy","year":"2012","journal-title":"Ann Pharmacother"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.7","doi-asserted-by":"crossref","first-page":"e409","DOI":"10.1016\/j.jemermed.2011.05.077","article-title":"Hypovolaemia-induced cardiac tamponade in a patient with hypothyroidism","volume":"2013","author":"Chang","year":"2012","journal-title":"J Emerg Med"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.8","doi-asserted-by":"crossref","unstructured":"Al-Jundi W Rubin N . Cardiac tamponade secondary to haemopericardium in a patient on warfarin. BMJ Case Rep 2012 : bcr 01.2010.2606 website address: http:\/\/casereports.bmj.com\/content\/2010\/bcr.01.2010.2606.abstract (accessed 1 April 2013).","DOI":"10.1136\/bcr.01.2010.2606"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.9","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1161\/01.CIR.64.3.633","article-title":"Cardiac tamponade in medical patients","volume":"2013","author":"Guberman","year":"1981","journal-title":"Circulation"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.10","first-page":"188","article-title":"Massive pericardial effusion as a sole manifestation of hypothyroidism\u2014a case report","volume":"2013","author":"Mahroos","year":"2000","journal-title":"Bahrain Med Bull"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.11","doi-asserted-by":"crossref","first-page":"329","DOI":"10.5414\/CNP58329","article-title":"Pericardial effusion in nephritic syndrome","volume":"2013","author":"Gobel","year":"2002","journal-title":"Clin Nephrol"},{"key":"2025042707163236000_2013.apr10_1.bcr2012007255.12","unstructured":"Shaw E . Medscape Reference \u2018electrical alternans\u2019 http:\/\/emedicine.medscape.com\/article\/154706-overview (accessed 25 Jun 2012)."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:16:38Z","timestamp":1745763398000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,10]]},"references-count":12,"alternative-id":["10.1136\/bcr-2012-007255"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007255","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,4,10]]}}}