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"Pericardial effusion is the presence of fluid in the pericardial cavity due to secretion from the visceral pericardium. II may be caused by virus, bacteria, fungi, tuberculosis, post-inflammation conditions, auto-reactive processes, neoplasm, renal failure, aortal dissection, and hyperthyroidism. Clinical symptoms may take the form of difficulty breathing, orthopnea, chest pain, dysphagia, hiccups, dysphonia, nausea, and bloated abdomen. Physical examination may portray paradoxal pulse, tachyp-nea, tachycardia, hypotension, and peripheral edema. Radiological findings include enlarged heart, and a heart configuration resembling a water jug. Electrogradiography may demonstrate low voltage, and flat T.We report a case of a 25 year-old male who was admitted with a complaint of difficulty breathing since four days prior to hospitalization. The difficulty breathing was felt since eight months prior to admission. He had undergone aspiration of fluid from the heart, and received anti-tuberculous treatment. There was cough, while sputum, and night sweats. The patient also suffered from malignancy, and was scheduled for chemotherapy"

"ABSTRACTBackground: Pericardial effusion is a common condition in clinical practice. Manifestation of effusion depends on its causes and the underlying diseases as well as influenced by patients characteristics and geographical location. This study was conducted to determine the characteristic of pericardial effusion patient based on age, gender, cytological and clinical diagnosis. Method: The study was conducted using descriptive retrospective method. The data collected was medical record of pericardial effusion patients for 5 years from 1St January 2009 to 31 December 2013. This study was conducted in SMF Pathology Anatomy Dr. Hasan Sadikin General Hospital Bandung. Fifty four cases were collected as samples through total sampling technique. The variables were age, gender, cytological diagnosis and clinical diagnosis. Results: Pericardial effusion mostly occurred in 21 to 30 years old. Pericardial effusion is more common in man than woman. Based on the type of cytology, the most common pericardial effusion was non specific inflammation. The most common clinical features of patients is tuberculous infection. Conclusions: Pericardial effusion frequently occurred in 21 to 30 years old. Based on gender, pericardial effusion is not significantly distributed between male and female. Based on cytological diagnosis, pericardial effusion is mostly diagnosed as non spesific inflammation type. The manjority of clinical feature of pericardial effusion is tuberculosis infection."

"Efusi perikardial adalah kondisi yang sering ditemukan di praktik klinis. Manifestasi efusi bergantung pada penyebab dan penyakit penyerta serta dipengaruhi oleh karakteristik dan lokasi geografi pasien. Penelitian ini bertujuan untuk mengetahui gambaran pasien efusi perikardial berdasarkan usia, jenis kelamin, diagnosis sitologi dan klinis. Metode: Penelitian dilakukan dengan metode deskriptif retrospektif menggunakan data rekam medis pasien efusi perikardial selama 5 tahun, yaitu 1 Januari 2009 sampai dengan 31 Desember 2013. Penelitian dilakukan di SMF Patologi Anatomi RSUP Dr. Hasan Sadikin Bandung. Sebanyak 54 kasus diambil dengan cara total sampling pada penelitian ini. Variabel data yang digunakan adalah usia, jenis kelamin, jenis diagnosis sitologi dan kondisi klinis. Hasil: Usia yang paling banyak ditemukan adalah kelompok usia 21-30 tahun. Efusi perikardial lebih banyak terjadi pada pria dibandingkan dengan wanita. Kasus efusi perikardial paling banyak berdasarkan jenis diagnosis sitologinya adalah jenis peradangan non-spesifik. Kondisi klinis yang paling sering ditemukan adalah infeksi tuberkulosis.Simpulan: Efusi perikardial paling banyak terjadi pada usia 21-30 tahun. Berdasarkan jenis kelamin, tidak terdapat perbedaan distribusi yang mencolok pada kasus efusi perikardial. Berdasarkan diagnosis sitologi, efusi perikardial paling banyak didiagnosis sebagai jenis peradangan non-spesifik. Berdasarkan diagnosis klinis, efusi perikardial paling banyak ditemukan pada kondisi infeksi tuberkulosis."

"Serous (peritoneal, pleural and pericardial) effusions are a frequently encountered clinical finding in everyday medical practice and one of the most common specimen types submitted for cytological evaluation. The correct diagnosis of effusions is critical for patient management, as well as for prognostication and yet many clinicians find diagnosis and treatment of cancer cells in effusions very challenging.Featuring multiple microscopic illustrations of all diagnostic entities and ancillary techniques (immunhistochemistry and molecular methods), this book provides a comprehensive, authoritative guide to all aspects of serous effusions, including etiology, morphology and ancillary diagnostic methods, as well as data related to therapeutic approaches and prognostication. Section one covers diagnosis for benign and malignant effusions including the etiological reasons for the accumulation of effusions that provides the reader with the full spectrum of differential diagnoses at this anatomic site. Section Two discusses biology, therapy and prognosis highlighting clinical approaches that may be of value to patients and the movement towards personalized medicine and targeted therapy."