Cardiac tamponade in acute pancreatitis

Bhatt, Vijaya Raj; Koirala, Ashish; Wetz, Robert V; Kedia, Shiksha; Ghimire, Pratima; Bartaula, Rajiv

doi:10.1136/bcr.08.2010.3287

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…However, cardiac tamponade secondary to a pancreaticopericardial fistula is rare and very few cases have been reported. [1][2][3] To the best of our knowledge, this is the fourth case of cardiac tamponade due to pancreatic pericardial effusion which was managed successfully by endoscopic therapy. 4 Acute and chronic pancreatitis can lead to pancreatic ductal disruption causing an internal fistula, which is an abnormal communication between the pancreatic duct and viscera or pleural or peritoneal cavity.…”

Section: Discussionmentioning

confidence: 82%

Lessons of the month 1: Cardiac tamponade: don't forget the pancreas

et al. 2021

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Section: Discussionmentioning

confidence: 82%

Lessons of the month 1: Cardiac tamponade: don't forget the pancreas

et al. 2021

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“…Usually, pericardial effusion disappears spontaneously after clinical recovery except for effusion associated with fistula formation. 9 Pericardial effusion that presents as cardiac tamponade following pancreatitis is extremely rare, but has been reported by Bhatt et al 3 and Parekh et al 13 in adults. To the best knowledge of the authors, this is the first case report of cardiac tamponade due to massive pericardial effusion along with a posterior mediastinal pseudocyst in a child.…”

Section: Discussionmentioning

confidence: 97%

“…2 Pericardial effusion is a surprisingly common finding in acute pancreatitis, though cardiac tamponade is an extremely rare but serious finding. 3 Herein, we report a rare case of pediatric chronic calcific pancreatitis with mediastinal pseudocyst formation and pericardial effusion leading to tamponade.…”

Section: Introductionmentioning

confidence: 97%

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Mediastinal Pseudocyst and Cardiac Tamponade Due to Massive Pericardial Effusion in Pediatric Chronic Calcific Pancreatitis

Basu¹,

Bhatacharya²,

Das³

et al. 2016

J Pediatr Intensive Care

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A 7-year-old male patient with a history of recurrent abdominal pain over 1 year presented with cardiac tamponade due to massive pericardial effusion, which was percutaneously drained. Contrast-enhanced computed tomography revealed a large posterior mediastinal cyst and calcified, heterogeneous pancreatic parenchyma. Elevated amylase and lipase levels of the cyst fluid confirmed the diagnosis of pancreatic pseudocyst, which was treated with an octreotide infusion and Roux-en-Y cystojejunostomy. The child was discharged on pancreatic enzyme supplement and was asymptomatic on follow-up.

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“…Acute pancreatitis is associated with several local and systemic complications, such as pericardial effusion 1. Even though this complication is usually mild and without haemodynamic consequences, it can sometimes present as a cardiac tamponade.…”

Section: Introductionmentioning

confidence: 99%

Cardiac tamponade, an unusual complication of acute pancreatitis

et al. 2016

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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.

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Cardiac tamponade in acute pancreatitis

Cited by 7 publications

References 6 publications

Lessons of the month 1: Cardiac tamponade: don't forget the pancreas

Lessons of the month 1: Cardiac tamponade: don't forget the pancreas

Mediastinal Pseudocyst and Cardiac Tamponade Due to Massive Pericardial Effusion in Pediatric Chronic Calcific Pancreatitis

Cardiac tamponade, an unusual complication of acute pancreatitis

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