case_images: PMC10822107_01
case_images: the ECG showing normal sinus rhythm with low voltage, right axis deviation (RAD), and incomplete right bundle branch block (RBBB)
case_images: PAMJ-46-62-g001.jpg
case_images: PMC10822107_01_PAMJ-46-62-g001.jpg
case_images: F1
case_images: Diagnostic assessment: an electrocardiogram (ECG) indicated low-voltage ECG complexes, right axis deviation, incomplete right bundle branch block, and sinus rhythm, with a heart rate of approximately 80 beats per minute (Figure 1).
case_images: chest radiogram showing cardiomegaly with globular enlargement of the cardiac silhouette with "water bottle" configuration
case_images: PAMJ-46-62-g002.jpg
case_images: PMC10822107_01_PAMJ-46-62-g002.jpg
case_images: F2
case_images: A chest X-ray displayed a characteristic "water bottle-shaped" sign, suggesting the presence of pericardial effusion (Figure 2).
case_images: a two-dimensional transthoracic echocardiography reveals a significant pericardial effusion surrounding the heart; the red arrow indicates the effusion, while the blue arrow indicates right ventricular (RV) collapse; (LV: left ventricular, LA: left atrium, RA: right atrium)
case_images: PAMJ-46-62-g003.jpg
case_images: PMC10822107_01_PAMJ-46-62-g003.jpg
case_images: F3
case_images: Further assessment through transthoracic cardiac echocardiography (TTE) unveiled circumferential fibrinous pericardial effusion, along with signs of right ventricular collapse, while the left ventricular ejection fraction remained within the normal range (Figure 3).
case_images: the follow-up echocardiography after pericardiocentesis
case_images: PAMJ-46-62-g004.jpg
case_images: PMC10822107_01_PAMJ-46-62-g004.jpg
case_images: F4
case_images: The echocardiography follow-up after pericardiocentesis showed improvement in the right ventricle, and there was only a mild pericardial fluid (Figure 4).