Giant organized pericardial hematoma producing constrictive pericarditis: a case report and review of the literature.
Massive organized pericardial hematoma secondary to blunt trauma is extremely rare. We report a case of a 69-year-old man referred with refractory ascites who was found to have a 10 x 6 x 8 cm organized pericardial hematoma with hemodynamic characteristics consistent with constrictive pericarditis. The cause was attributed to blunt chest trauma associated with a fall 3 years previously. Excision of the mass and removal of the constricting epicardium relieved his symptomatology. A review of the literature is included.
Brown
D L
DL
Department of Surgery, University of Cincinnati, Ohio, USA.
Ivey
T D
TD
D000058:Accidental Falls; D000368:Aged; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging / Q000209:etiology*; D010496:Pericardium / Q000000981:diagnostic imaging; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000150:complications