Cardiac tamponade as a complication of pseudocyst in chronic pancreatitis.
Authors report a case of relapsing chronic calcifying pancreatitis with pleural and pericardial effusions during an episode of acute exacerbation. A large multilocular pancreatic pseudocyst expanded into the mediastinal space resulting in pericardial effusion that caused cardiac tamponade with severe circulatory deterioration. After resuscitation and pericardiocentesis a successful surgical procedure was performed, which produced rapid clinical improvement. Authors discuss this uncommon complication and review the proposed pathogenic mechanisms and possible therapeutic interventions.
Oláh
Attila
A
Department of Surgery, Petz Aladár Teaching Hospital of Haynal I. Medical University, 9002 Györ, P.O. Box: 92, Hungary. olah.seb@arrabonet.gyor.hu
Nagy
Attila S
AS
Rácz
István
I
Gamal
Mohamed E
ME
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000150:complications*; D014057:Tomography, X-Ray Computed