Diagnostic and therapeutic challenges in a patient with recurrent pleural effusion, heart failure and a diagnosed right atrium tumour

Autor

  • Bohdan Melnyk University Clinical Hospital No. 2, Pomeranian Medical University in Szczecin, Clinic of Cardiology with Intensive Care Unit, Powstańców Wlkp. 72, 70-111 Szczecin, Poland
  • Mariia Melnyk University Clinical Hospital No. 1, Pomeranian Medical University in Szczecin, Clinic of Gynaecology, Gynaecological Endocrinology and Oncology, Unii Lubelskiej 1, 71-252 Szczecin, Poland
  • Maciej Lewandowski University Clinical Hospital No. 2, Pomeranian Medical University in Szczecin, Clinic of Cardiology with Intensive Care Unit, Powstańców Wlkp. 72, 70-111 Szczecin, Poland

DOI:

https://doi.org/10.21164/pomjlifesci.1227

Słowa kluczowe:

right atrium tumour, pleural effusion, metastases, heart failure, primary heart tumour

Abstrakt

Accumulation of fluid in the pleural cavity is a common symptom during heart failure exacerbation. The recurring nature of fluid accumulation during such treatment raises concern. In this case, an 84-year-old female patient with past oncological treatment, diagnosed with a right atrium tumour, manifested a rapid recurrence of pleural effusion, significantly hindering further diagnostics. Despite initial partial clinical improvement and positive trends in laboratory tests following comprehensive heart failure treatment and repeated pleural cavity punctures with drainage, we were unable to halt symptom progression. Regardless of the launched diagnostics, we did not make it in time. Thus, the level of advancement of the disease did not allow us to fulfil the diagnostic of the fluid etiology and to launch successful treatment of the eventual oncological process. 

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Opublikowane

2026-03-27

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