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Background <p>T-cell lymphoblastic lymphoma is a type of non-Hodgkin’s lymphoma, which usually affects adolescents and young adults. The usual presentation is characterized by B symptoms and adenopathy associated with a mediastinal mass. Here we describe a rare case of T-cell lymphoblastic lymphoma in an adolescent, presenting as cardiac tamponade.</p> Case presentation <p>The patient is a 17-year-old Moroccan adolescent with no medical history who presented with dyspnea. Echocardiography showed a large pericardial effusion, collapse of the right cavities, and noncompressible dilatation of the inferior vena cava. This tamponade picture required an emergency pericardiocentesis, and the thoracic computed tomography scan showed a mediastinal mass of 132&#xa0;×&#xa0;105 mm. Pleuropericardial biopsy made the diagnosis of certainty of T-cell lymphoblastic lymphoma. The complementary management consisted of a combination of chemotherapy.</p> Conclusion <p>Life-threatening emergency, cardiac tamponade is a rare presentation of T-cell lymphoblastic lymphoma. Management consisted of pericardiocentesis, complemented by combination chemotherapy.</p>

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Cardiac tamponade as an initial atypical presentation of T-cell lymphoblastic lymphoma in a 17-year-old adolescent: a case report

  • 期刊论文

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  • 发表日期：

    2025年11月3日

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  • Mahamadou Charfo Bacharou,
  • Rim Belmalyani,
  • Patrick Mulendele,
  • Sadissou Gambobo,
  • Abdel Nasser Drighil

摘要

Background

T-cell lymphoblastic lymphoma is a type of non-Hodgkin’s lymphoma, which usually affects adolescents and young adults. The usual presentation is characterized by B symptoms and adenopathy associated with a mediastinal mass. Here we describe a rare case of T-cell lymphoblastic lymphoma in an adolescent, presenting as cardiac tamponade.

Case presentation

The patient is a 17-year-old Moroccan adolescent with no medical history who presented with dyspnea. Echocardiography showed a large pericardial effusion, collapse of the right cavities, and noncompressible dilatation of the inferior vena cava. This tamponade picture required an emergency pericardiocentesis, and the thoracic computed tomography scan showed a mediastinal mass of 132 × 105 mm. Pleuropericardial biopsy made the diagnosis of certainty of T-cell lymphoblastic lymphoma. The complementary management consisted of a combination of chemotherapy.

Conclusion

Life-threatening emergency, cardiac tamponade is a rare presentation of T-cell lymphoblastic lymphoma. Management consisted of pericardiocentesis, complemented by combination chemotherapy.