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Case Report on Pleural Effusion with Cardiac Tamponade with Small Lymphocytic Lymphoma with Insertion of Permanent Pigtail Catheter with Splenomegaly and Hepatomegaly | Abstract

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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Case Report on Pleural Effusion with Cardiac Tamponade with Small Lymphocytic Lymphoma with Insertion of Permanent Pigtail Catheter with Splenomegaly and Hepatomegaly

Author(s): Apeksha M Wakde*

Abstract

Introduction: Pleural effusion is defined as a collection of fluid in the pleural cavity that is larger than normal. When 300 ml or more of fluid is present on x-rays, it can be noticed, and when 500 ml or more is present clinically, it can be detected. Cardiac tamponade is defined as the accumulation of massive volumes of pericardial fluid in the heart, resulting in abrupt heart failure. The stroke and heart outputs are both decreasing. The insertion of a pigtail catheter is a reliable and safe way to drain pleural fluid. Lymphocytic lymphoma is lymphoid cell proliferation that is monoclonal, most of which are B-cells (70%) or T-cells (30%). It accounts for 5% of all newly diagnosed cancers but is on the rise globally. The information of the liver cells is hepatomegaly. The inflammation of the spleen is referred to as splenomegaly. Clinical Findings: my patient a 25-year-old male came to Acharya Vinoba bhave hospital sawangi meghe, wardha having clinical findings are as follow, breathlessness as well as loss of appetite since one month, swelling over left supra clavicular region since 10 months and cough occasional and mucoid expertarate since one and half month. Diagnostic Evaluation: USG for mild hepatomegaly in the liver and splenomegaly in the spleen, USG for a large pleural effusion on the right side of the thorax, ECG QS complexes in V1, V2, V3, 2 D Echo ejection fraction 15%, all chambers dilated, poor biventricular systolic function, mild mitral regurgitation, tricuspid regurgitation Outcome: A pleural tap was performed. The patient's general health was deteriorating, and he was short of breath. Conclusion: This circumstance illustrates the mental effects on the affected person, as well as the caregiver and family. Patients' symptoms were relieved and the course of Lungs was slowed after receiving adequate treatment.

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