case_images: PMC7271284_01
case_images: Echocardiography:subcostal four-chamber view. PC:encapsulated pericardial effusion with fibrinous septa compressing the right atrium (RA).
case_images: CRIC2020-1642914.001.jpg
case_images: PMC7271284_01_CRIC2020-1642914.001.jpg
case_images: fig1
case_images: The transthoracic echocardiography revealed a large quantity of pericardial fluid (predominantly near to the right ventricle and right atrium:Figure 1) associated with typical signs of cardiac tamponade; hence, an urgent pericardiocentesis was performed with a good clinical result.
case_images: Computed tomography of the chest. PC:encapsulated pericardial effusion; PL:bilateral pleural effusion; T:tumoral mass in the right inferior lobe.
case_images: CRIC2020-1642914.002.jpg
case_images: PMC7271284_01_CRIC2020-1642914.002.jpg
case_images: fig2
case_images: Thoraco-abdominal computed tomography (CT), with pulmonary angiography, showed a diffuse, inhomogeneous opacity in the right inferior lobe (Figure 2) and a right-sided ovarian (tumoral) mass.
case_images: PMC7271284_02
case_images: Continuous-wave Doppler interrogation of tricuspid regurgitation. Systolic gradient of 106 mmHg between the right ventricle and right atrium, revealing severe pulmonary hypertension.
case_images: CRIC2020-1642914.003.jpg
case_images: PMC7271284_02_CRIC2020-1642914.003.jpg
case_images: fig3
case_images: Routine transthoracic echocardiographic examination revealed dilated right heart cavities and severe tricuspid regurgitation with severe pulmonary hypertension (systolic pulmonary arterial pressure about 120 mmHg, Figure 3).
case_images: Abdominal computed tomography showing a large quantity of ascites (a).
case_images: CRIC2020-1642914.004.jpg
case_images: PMC7271284_02_CRIC2020-1642914.004.jpg
case_images: fig4
case_images: CT imaging of the abdomen and thorax, and a tumor marker screening, including CA-125 were performed. CT examination confirmed the large intra-abdominal collection (Figure 4) and a right pleural effusion.