Diagnosis and management of pericardial abscess in trauma patients

Sato, Thomas T.; Geary, Randolph L.; Ashbaugh, David G.; Jurkovich, Gregory J.

doi:10.1016/s0002-9610(05)80451-9

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Pericardial abcesses have been reported to be caused by a variety of other conditions, including infective pericarditis after blunt and penetrating trauma, thermal injuries [31,32], endocarditis [33], sepsis [34] and oesophago-mediastinal fistula [35].…”

Section: Tuberculous Disease Of the Pericardiummentioning

confidence: 99%

Imaging the pericardium: appearances on ECG-gated 64-detector row cardiac computed tomography

O’Leary¹,

Williams²,

Williams³

et al. 2010

BJR

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ABSTRACT. Multidetector row computed tomography (MDCT) with its high spatial and temporal resolution has now become an established and complementary method for cardiac imaging. It can now be used reliably to exclude significant coronary artery disease and delineate complex coronary artery anomalies, and has become a valuable problem-solving tool. Our experience with MDCT imaging suggests that it is clinically useful for imaging the pericardium. It is important to be aware of the normal anatomy of the pericardium and not mistake normal variations for pathology. The pericardial recesses are visible in up to 44% of non-electrocardiogram (ECG)-gated MDCT images. Abnormalities of the pericardium can now be identified with increasing certainty on 64-detector row CT; they may be the key to diagnosis and therefore must not be overlooked. This educational review of the pericardium will cover different imaging techniques, with a significant emphasis on MDCT. We have a large research and clinical experience of ECG-gated cardiac CT and will demonstrate examples of pericardial recesses, their variations and a wide variety of pericardial abnormalities and systemic conditions affecting the pericardium. We give a brief relevant background of the conditions and reinforce the key imaging features. We aim to provide a pictorial demonstration of the wide variety of abnormalities of the pericardium and the pitfalls in the diagnosis of pericardial disease.

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Section: Tuberculous Disease Of the Pericardiummentioning

confidence: 99%

Imaging the pericardium: appearances on ECG-gated 64-detector row cardiac computed tomography

O’Leary¹,

Williams²,

Williams³

et al. 2010

BJR

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“…Purulent pericarditis as an acute illness is characterized by high fever, tachycardia, cough, and chest pain. However, rarely no signs of sepsis of may be appreciated, which makes the diagnosis extremely difficult [3]. Infection usually involves the entire pericardium, but can rarely present as a pericardial abscess [4].…”

Section: Introductionmentioning

confidence: 99%

Methicillin-Resistant Staphylococcus aureus (MRSA)-Positive Pericardial Abscess Presenting in a Hemodialysis Patient

Zarour

Dervishi

Fuguet

et al. 2020

Cureus

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Purulent pericarditis is an uncommon infection of the pericardial space that can very rarely present as a pericardial abscess. Infection by hematogenous spread in dialysis patients is among the predisposing risk factors that can lead to purulent pericarditis. Herein, we present a pericardial abscess case due to methicillin-resistant Staphylococcus aureus (MRSA) infection in a male patient with end-stage renal disease (ESRD) on hemodialysis. The patient has a past surgical history of two prior pericardial effusions due to uremic pericarditis.

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