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BMJ Case Reports 2009; doi:10.1136/bcr.09.2008.0955
  • Rare disease

Cardiac tamponade caused by epithelioid haemangioendothelioma

  1. Tzu-Tao Chen1,
  2. Chuan-Tsai Lai2,
  3. Chien-Liang Wu1,3,
  4. Tao-Yeuan Wang4,
  5. Bing-Fu Shih5,
  6. Chung-Lieh Hung6,
  7. Li-Kuo Kuo1,
  8. Yu-Ling Weng7,
  9. Shih-Yi Lee1,3
  1. 1
    Mackay Memorial Hospital, Division of Pulmonary and Critical Care Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
  2. 2
    Mackay Memorial Hospital, Division of Nephrology, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
  3. 3
    Mackay Memorial Hospital, Nursing and Management College, Division of Chest, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan
  4. 4
    Mackay Memorial Hospital, Pathology, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
  5. 5
    Mackay Memorial Hospital, Nuclear Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 104, Taiwan
  6. 6
    Mackay Memorial Hospital, Department of Cardiovascular Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan
  7. 7
    Mackay Memorial Hospital, Department of Internal Medicine, 92 Sec 2, Chung-Shan North Rd, Taipei, 10449, Taiwan
  1. Shih-Yi Lee, leesyi5538{at}yahoo.com.tw
  • Published 20 March 2009

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.

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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