title: Effusive-constrictive tuberculous pericarditis in the setting of penetrating abdominal trauma.
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.
authors: Department of Surgery, NYU Lutheran Medical Center, Brooklyn, New York, USA.
authors: Vadim
authors: V
authors: Meytes
authors: Department of Minimally Invasive & Bariatric Surgery, Penn State Hershey Medical Center, Hershey, PA.
authors: Salvatore
authors: S
authors: Docimo
authors: Hofstra North Shore-LIJ School of Medicine, New York, USA.
authors: David
authors: D
authors: Elkowitz
authors: Department of Surgery, NYU Lutheran Medical Center, Brooklyn, New York, USA.
authors: Anthony
authors: A
authors: Kopatsis
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D000328:Adult; D006801:Humans; D007813:Laparotomy; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis*; D010495:Pericarditis, Tuberculous / Q000175:diagnosis*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed