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Published 20 March 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.09.2008.0955]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Cardiac tamponade caused by epithelioid haemangioendothelioma

Tzu-Tao Chen1, Chuan-Tsai Lai2, Chien-Liang Wu1,3, Tao-Yeuan Wang4, Bing-Fu Shih5, Chung-Lieh Hung6, Li-Kuo Kuo1, Yu-Ling Weng7, Shih-Yi Lee1,3

1 Mackay Memorial Hospital, Division of Pulmonary and Critical Care Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
2 Mackay Memorial Hospital, Division of Nephrology, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
3 Mackay Memorial Hospital, Nursing and Management College, Division of Chest, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan
4 Mackay Memorial Hospital, Pathology, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
5 Mackay Memorial Hospital, Nuclear Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
6 Mackay Memorial Hospital, Department of Cardiovascular Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan
7 Mackay Memorial Hospital, Department of Internal Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan

Correspondence to:
Shih-Yi Lee, leesyi5538{at}yahoo.com.tw

SUMMARY

Epithelioid haemangioendothelioma (EHE) is a tumour of vascular endothelial origin. The rarity of EHE has limited the complete understanding of the disease. Here, a unique case of EHE complicated with cardiac tamponade with an unusual initial presentation, scoliosis, is reported. The discordant findings between a Tc99m bone scan and 2-fluoro-2-deoxy-D-glucose positron emission tomography (FDP PET) also serve to impart another lesson about investigating bone metastasis in EHE.


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