An unusual cause of pericardial effusion

被引：2

作者：

Lamkin, Christina ^{[1
]}

Hamner, Lawrence R., III ^{[1
]}

机构：

[1] South Texas Cardiothorac & Vasc Surg Associates, San Antonio, TX 78229 USA

来源：

JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2016年 / 29卷 / 09期

关键词：

pericardial effusion; esophageal perforation; aortic trauma; pericardial window; foreign body ingestion; porcupine quill; INJURY;

D O I：

10.1097/01.JAA.0000488692.50552.71

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A patient who presented with chest pain, shortness of breath, and a purulent pericardial effusion became hemodynamically unstable after recurrent accumulation of fluid in the pericardial sac despite treatment. Surgical exploration revealed an aortic ulcer created by an ingested porcupine quill that perforated the esophagus. Sharp foreign body ingestion is extremely rare but poses devastating complications, and should be considered in the differential diagnosis of patients with otherwise unexplained chest pain.

引用

页码：32 / 34

页数：3

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