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
DOI
10.1136/bcr-2015-211575