A rare late complication of traumatic diaphragmatic hernia repair
Summary We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undert...
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| Veröffentlicht in: | Anaesthesia reports 2019-01, Vol.7 (1), p.26-28 |
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| creator | Weir, A. Bartlett, E. Bowling, K. Andrews, S. Guest, T. |
| description | Summary
We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound‐guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. On review of the imaging, it is likely a surgically‐placed permanent metallic fixation device, sitting near the pericardium, caused bleeding into the pericardial sac due to local trauma as a delayed postoperative complication. |
| doi_str_mv | 10.1002/anr3.12008 |
| format | Article |
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We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound‐guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. On review of the imaging, it is likely a surgically‐placed permanent metallic fixation device, sitting near the pericardium, caused bleeding into the pericardial sac due to local trauma as a delayed postoperative complication.</description><identifier>ISSN: 2637-3726</identifier><identifier>EISSN: 2637-3726</identifier><identifier>DOI: 10.1002/anr3.12008</identifier><identifier>PMID: 32051941</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>Case Report ; Case Reports</subject><ispartof>Anaesthesia reports, 2019-01, Vol.7 (1), p.26-28</ispartof><rights>2019 Association of Anaesthetists</rights><rights>2019 Association of Anaesthetists.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4208-f1b6133b56e0abf57d6e37e01ff83ad997a2c5e11388cc9fcd9c8b8913607b213</citedby><cites>FETCH-LOGICAL-c4208-f1b6133b56e0abf57d6e37e01ff83ad997a2c5e11388cc9fcd9c8b8913607b213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931299/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931299/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32051941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weir, A.</creatorcontrib><creatorcontrib>Bartlett, E.</creatorcontrib><creatorcontrib>Bowling, K.</creatorcontrib><creatorcontrib>Andrews, S.</creatorcontrib><creatorcontrib>Guest, T.</creatorcontrib><title>A rare late complication of traumatic diaphragmatic hernia repair</title><title>Anaesthesia reports</title><addtitle>Anaesth Rep</addtitle><description>Summary
We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound‐guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. On review of the imaging, it is likely a surgically‐placed permanent metallic fixation device, sitting near the pericardium, caused bleeding into the pericardial sac due to local trauma as a delayed postoperative complication.</description><subject>Case Report</subject><subject>Case Reports</subject><issn>2637-3726</issn><issn>2637-3726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kN9LwzAQx4Mobsy9-AdIH0XozCVt07wIZfgLhoLoc0jTZIu0TU1XZf-9nZ1jvvh0d9yHzx1fhM4BzwBjci1rT2dAME6P0JgklIWUkeT4oB-hadu-4x6GiMecnaIRJTgGHsEYZVngpddBKdc6UK5qSqvk2ro6cCZYe9lV_aSCwspm5eVymFba11YGXjfS-jN0YmTZ6umuTtDb3e3r_CFcPN8_zrNFqCKC09BAngCleZxoLHMTsyLRlGkMxqRUFpwzSVSsAWiaKsWNKrhK85QDTTDLCdAJuhm8TZdXulC67t8rReNtJf1GOGnF301tV2LpPkXCKRDOe8HlTuDdR6fbtahsq3RZylq7rhWExhGLIE5Yj14NqPKubb02-zOAxTZ2sY1d_MTewxeHj-3R35B7AAbgy5Z6849KZE8vdJB-A0CsjTI</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Weir, A.</creator><creator>Bartlett, E.</creator><creator>Bowling, K.</creator><creator>Andrews, S.</creator><creator>Guest, T.</creator><general>John Wiley and Sons Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201901</creationdate><title>A rare late complication of traumatic diaphragmatic hernia repair</title><author>Weir, A. ; Bartlett, E. ; Bowling, K. ; Andrews, S. ; Guest, T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4208-f1b6133b56e0abf57d6e37e01ff83ad997a2c5e11388cc9fcd9c8b8913607b213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Case Report</topic><topic>Case Reports</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weir, A.</creatorcontrib><creatorcontrib>Bartlett, E.</creatorcontrib><creatorcontrib>Bowling, K.</creatorcontrib><creatorcontrib>Andrews, S.</creatorcontrib><creatorcontrib>Guest, T.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Anaesthesia reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weir, A.</au><au>Bartlett, E.</au><au>Bowling, K.</au><au>Andrews, S.</au><au>Guest, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A rare late complication of traumatic diaphragmatic hernia repair</atitle><jtitle>Anaesthesia reports</jtitle><addtitle>Anaesth Rep</addtitle><date>2019-01</date><risdate>2019</risdate><volume>7</volume><issue>1</issue><spage>26</spage><epage>28</epage><pages>26-28</pages><issn>2637-3726</issn><eissn>2637-3726</eissn><abstract>Summary
We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound‐guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. On review of the imaging, it is likely a surgically‐placed permanent metallic fixation device, sitting near the pericardium, caused bleeding into the pericardial sac due to local trauma as a delayed postoperative complication.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>32051941</pmid><doi>10.1002/anr3.12008</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Case Report Case Reports |
| title | A rare late complication of traumatic diaphragmatic hernia repair |
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