A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis

Bharadwaj Satyavolu; Hamza A. Lodhi; Adithya Mathews; Priya Bansal; Haider Altaii; Ramez Morcos; Anand Desai; Brijeshwar Maini; Houman Khalili

doi:10.1016/j.jaccas.2021.07.024

A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis

Bharadwaj Satyavolu, Hamza A. Lodhi, Adithya Mathews, Priya Bansal, Haider Altaii, Ramez Morcos, Anand Desai, Brijeshwar Maini, Houman Khalili

Research output: Contribution to journal › Article › peer-review

Abstract

We present a rare case of iatrogenic pneumopericardium, pneumoperitoneum, and Escherichia coli pericarditis after emergency pericardiocentesis for pericardial tamponade. The patient had profound bowel distention at the time of the procedure that led to iatrogenic pericardioperitoneal fistula formation along with transverse colon perforation, which manifested later after pericardial drain removal. This condition required repeat pericardiocentesis, laparoscopic colon repair, a long course of antibiotics, and an eventual pericardial window. (Level of Difficulty: Intermediate.)

Original language	English (US)
Pages (from-to)	1519-1523
Number of pages	5
Journal	JACC: Case Reports
Volume	3
Issue number	13
DOIs	https://doi.org/10.1016/j.jaccas.2021.07.024
State	Published - Oct 6 2021
Externally published	Yes

Keywords

complication
pericardial effusion
tamponade

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2021.07.024

Cite this

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abstract = "We present a rare case of iatrogenic pneumopericardium, pneumoperitoneum, and Escherichia coli pericarditis after emergency pericardiocentesis for pericardial tamponade. The patient had profound bowel distention at the time of the procedure that led to iatrogenic pericardioperitoneal fistula formation along with transverse colon perforation, which manifested later after pericardial drain removal. This condition required repeat pericardiocentesis, laparoscopic colon repair, a long course of antibiotics, and an eventual pericardial window. (Level of Difficulty: Intermediate.)",

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T2 - Pneumopericardium, Pneumoperitoneum, and Pericarditis

AU - Satyavolu, Bharadwaj

AU - Lodhi, Hamza A.

AU - Mathews, Adithya

AU - Bansal, Priya

AU - Altaii, Haider

AU - Morcos, Ramez

AU - Desai, Anand

AU - Maini, Brijeshwar

AU - Khalili, Houman

PY - 2021/10/6

Y1 - 2021/10/6

N2 - We present a rare case of iatrogenic pneumopericardium, pneumoperitoneum, and Escherichia coli pericarditis after emergency pericardiocentesis for pericardial tamponade. The patient had profound bowel distention at the time of the procedure that led to iatrogenic pericardioperitoneal fistula formation along with transverse colon perforation, which manifested later after pericardial drain removal. This condition required repeat pericardiocentesis, laparoscopic colon repair, a long course of antibiotics, and an eventual pericardial window. (Level of Difficulty: Intermediate.)

AB - We present a rare case of iatrogenic pneumopericardium, pneumoperitoneum, and Escherichia coli pericarditis after emergency pericardiocentesis for pericardial tamponade. The patient had profound bowel distention at the time of the procedure that led to iatrogenic pericardioperitoneal fistula formation along with transverse colon perforation, which manifested later after pericardial drain removal. This condition required repeat pericardiocentesis, laparoscopic colon repair, a long course of antibiotics, and an eventual pericardial window. (Level of Difficulty: Intermediate.)

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KW - tamponade

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A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis

Abstract

Keywords

ASJC Scopus subject areas

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