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As the AIDS epidemic increases at an alarming proportion, there is a greater likelihood of finding gynecological malignancies in HIV-positive females. The clinician is therefore faced with management and ethical dilemmas, as the most appropriate management in this setting is unknown. This case report illustrates both an unusual site of pericardial metastasis in a patient with HIV infection and ovarian carcinoma. The management of the pericardial tamponade is also described.
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