title: Cardiac tamponade, an unusual complication of acute pancreatitis.
abstract: A 41-year-old Hispanic man was admitted to our hospital with the diagnosis of acute pancreatitis due to hypertriglyceridemia. During his stay, he developed sudden haemodynamic instability and clinical presentation suggestive of cardiac tamponade. A transthoracic echocardiogram confirmed the diagnosis. Echocardiography-guided pericardiocentesis was performed with immediate haemodynamic improvement. The patient's condition underwent favourable evolution. The pancreatitis was resolved and a control transthoracic echocardiography was performed showing no pericardial effusion. The pathophysiology of this rare entity is unknown. Early diagnosis and treatment are crucial. Although pericardiocentesis is the treatment of choice, there have been a few reports of medical treatment with encouraging results. Although the association of acute pancreatitis and tamponade are anecdotal in literature, medics should be aware of this association in order to perform prompt diagnosis.
authors.affiliation: Department of Cardiology, Hospital Español, Ciudad de Mexico, Mexico.
authors.forename: Daniel
authors.identifier: http://orcid.org/0000-0002-3543-6360
authors.initials: D
authors.lastname: Veron Esquivel
authors.affiliation: Hospital Espanol, Mexico DF, Mexico.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Aello
authors.affiliation: Hospital Espanol, Mexico DF, Mexico.
authors.forename: Fernando
authors.initials: F
authors.lastname: Batiz
authors.affiliation: Department of Cardiology, Hospital Español, Ciudad de Mexico, Mexico.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Fernandez Barrera
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D006321:Heart / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D010490:Pericardial Effusion / Q000209:etiology*