癌性心膜炎に対し心囊内に皮下埋込型カテーテルを留置した1例

Malignant Pericardial Effusion Treated by a Subcutaneously Placed Port System；Report of a Case

はじめに　癌性心膜炎に伴う心囊液貯留は再発することが多く，心囊穿刺を繰り返すのは困難であることも多い．われわれは，心囊内にカテーテルを留置し，皮下埋込型ポートと接続して排液を継続することができた症例を経験したので報告する．

Pericardial effusion due to malignancy often needs drainage, however, it is difficult to repeat pericardiocentesis. We report a case of malignant pericardial effusion in a 55-year-old female, who had been diagnosed with sigmoid colon cancer and treated with surgical resection and chemotherapy 2 years before. She developed multiple organ metastasis and suffered from dyspnea due to increasing pericardial effusion. We performed pericardiocentesis repeatedly, but the pericardial effusion continuously increased. Therefore, we inserted a drainage catheter into the pericardial space, which was connected to a subcutaneously placed port system. She was discharged from the hospital, but expired 12 days later. In the case of malignant pericardial effusion, subcutaneous placing of a port system may be safe and useful.