Title

Effusive-constrictive tuberculous pericarditis in the setting of penetrating abdominal trauma

Publication Date

2015

Journal Title

BMJ Case Rep

Abstract

Tuberculous pericarditis is rare in developed nations and is most commonly associated with effusive-constrictive pericarditis. We present the case of a 33-year-old man with a self-inflicted mid-abdominal stab wound. The patient underwent an exploratory laparotomy, revealing a grade IV pancreatic transection and injuries to the portal vein, right renal vein, inferior vena cava and the superior mesenteric vein. Repair of the vessels was performed and a pancreaticojejunostomy with a gastrojejunostomy was created for the pancreatic injury. The patient's hospital course was complicated by tuberculous effusive-constrictive pericarditis requiring emergent median sternotomy with opening of the pericardial sac and eventual expiration. The final cultures from the pericardial fluid demonstrated tuberculosis.

Volume Number

2015

Document Type

Article

EPub Date

2015/08/28

Status

Faculty

Facility

School of Medicine

Primary Department

Science Education

Additional Departments

Pathology and Laboratory Medicine

PMID

26311015

DOI

10.1136/bcr-2015-211575

Comments

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