Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 49-51

Delayed recurrent pericarditis complicated by pericardial effusion and cardiac tamponade in a blunt trauma patient


1 Harvard Medical School, Massachusetts
2 Harvard Medical School; Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Massachusetts

Correspondence Address:
Alexander T Hawkins
Harvard Medical School; Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Massachusetts

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Source of Support: Department of General Surgery, Massachusetts General Hospital, Conflict of Interest: None


DOI: 10.4103/0974-2700.150398

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A 19-year-old male suffered orthopedic fractures, blunt solid organ injury and pneumopericardium after a fall from 40 feet. With the exception of an external fixation device, he was managed non-operatively and discharged to a rehabilitation unit after 8 days. He was readmitted 4 days later with chest pain and clinical evidence of pericardititis that resolved with the initiation of non-steroidal anti-inflammatory drugs and colchicine. He returned to the rehabilitation hospital, but was readmitted once again for chest pain and hypotension. Echocardiogram revealed cardiac tamponade that required emergent drainage. He tolerated the procedure well and was discharged home from the hospital to continue treatment for his pericarditis. He is doing well at 3 months of follow-up.


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