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Pleural and pericardial fluids were again unrevealing. Three months later, he presented with worsening congestive heart failure. TTE, cardiac catheterisation and cardiac MRI were consistent with constrictive pericarditis. Preoperative workup did not identify an underlying cause. The patient underwent subtotal pericardiectomy. Intraoperative frozen section indicated malignancy. Pathology confirmed metastatic poorly differentiated signet ring adenocarcinoma of intestinal origin. He died 4\u2005days postoperatively from multiorgan failure.<\/jats:p>","DOI":"10.1136\/bcr-2016-216813","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T15:56:21Z","timestamp":1484754981000},"page":"bcr2016216813","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A rare cause of constrictive pericarditis"],"prefix":"10.1136","volume":"2017","author":[{"given":"Shane Patrick","family":"Flood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Ayah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Furukawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B","family":"Norris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,18]]},"reference":[{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.000790"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2005.035105"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.02.002"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000199556.69588.8e"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.5","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/00132580-200211000-00008","article-title":"Pericardial disease in the oncology patient","volume":"4","author":"Retter","year":"2002","journal-title":"Hear Dis"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.6","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.7","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4251\/wjgo.v3.i4.67","article-title":"Primary gastric signet ring cell carcinoma presenting as cardiac tamponade","volume":"3","author":"Huang","year":"2011","journal-title":"World J Gastrointest Oncol"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2004.03.003"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.9","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2014.100"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.10","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19951015)76:8<1377::AID-CNCR2820760813>3.0.CO;2-M"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.11","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0339(199609)15:3<197::AID-DC5>3.0.CO;2-E"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.12","doi-asserted-by":"publisher","DOI":"10.1378\/chest.111.5.1213"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.05.066"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.14","doi-asserted-by":"crossref","first-page":"6899","DOI":"10.3748\/wjg.v11.i44.6899","article-title":"Clinicopathological study of cardiac tamponade due to pericardial metastasis originating from gastric cancer","volume":"11","author":"Kobayashi","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025042702290439000_2017.jan18_1.bcr2016216813.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.11.048"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216813","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:29:14Z","timestamp":1745746154000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216813"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,18]]},"references-count":15,"alternative-id":["10.1136\/bcr-2016-216813"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216813","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,18]]}}}