{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:50:43Z","timestamp":1777672243363,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Esophageal dysphagia is most commonly caused by motility disorders and intrinsic mechanical obstruction. However, extrinsic obstruction, such as pericardial effusion, is rare causes of dysphagia. We present an 89-year-old male with history of Waldenstrom macroglobulinemia, Charcot-Marie-Tooth syndrome, and basal cell carcinoma presenting with generalized weakness, productive cough, shortness of breath, and dysphagia to both solids and liquids. A chest X-ray obtained showed cardiomegaly with suggested central vascular congestion and pulmonary edema. Further imaging with computed tomography (CT) abdomen and pelvis showed a moderate-to-large pericardial effusion. Patient later developed signs and symptoms of cardiac tamponade, requiring urgent pericardiocentesis with removal of 1 L of sanguineous fluid. Up to today, only 6 cases of dysphagia due to pericardial effusion have been described. This case displays another rare case and highlights the importance of recognizing dysphagia as a critical symptom as well as non-gastrointestinal (GI) causes of dysphagia.<\/jats:p>","DOI":"10.1177\/23247096241286364","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T07:28:34Z","timestamp":1728977314000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["An Odd Presentation of Dysphagia Due to Pericardial Effusion"],"prefix":"10.1177","volume":"12","author":[{"given":"Harendra","family":"Ipalawatte","sequence":"first","affiliation":[{"name":"Hospital Corporation of America Healthcare, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3247-5574","authenticated-orcid":false,"given":"Ariel","family":"Ahl","sequence":"additional","affiliation":[{"name":"Hospital Corporation of America Healthcare, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasprit","family":"Takher","sequence":"additional","affiliation":[{"name":"Hospital Corporation of America Healthcare, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arian","family":"Gower","sequence":"additional","affiliation":[{"name":"Hospital Corporation of America Healthcare, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"bibr1-23247096241286364","unstructured":"Hoit BD. Diagnosis and Treatment of Pericardial Effusion. UpToDate; 2022. Accessed August 23, 2023. https:\/\/www.uptodate.com\/contents\/diagnosis-and-treatment-of-pericardial-effusion?search=pericardial%20effusion&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H4463173"},{"key":"bibr2-23247096241286364","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a2678"},{"key":"bibr3-23247096241286364","unstructured":"Willner DA. Pericardial effusion. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482365\/"},{"key":"bibr4-23247096241286364","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2011.03.035"},{"key":"bibr5-23247096241286364","unstructured":"Hoit B. Etiology of Pericardial Disease. UpToDate; 2022. Accessed August 24, 2023. https:\/\/www.uptodate.com\/contents\/etiology-of-pericardial-disease?search=pericardial%20effusion&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H2"},{"key":"bibr6-23247096241286364","doi-asserted-by":"publisher","DOI":"10.14309\/00000434-201810001-01825"},{"key":"bibr7-23247096241286364","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2008.780"},{"key":"bibr8-23247096241286364","unstructured":"Fass R. Approach to the Evaluation of Dysphagia in Adults. UpToDate; 2022. Accessed August 23, 2023. https:\/\/www.uptodate.com\/contents\/approach-to-the-evaluation-of-dysphagia-in-adults?search=dysphagia%20&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H802823703"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096241286364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096241286364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096241286364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:04:11Z","timestamp":1777449851000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096241286364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":8,"alternative-id":["10.1177\/23247096241286364"],"URL":"https:\/\/doi.org\/10.1177\/23247096241286364","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"23247096241286364"}}