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Satyavolu B, Lodhi HA, Mathews A, Bansal P, Altaii H, Morcos R, Desai A, Maini B, Khalili H. A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis. JACC Case Rep 2021; 3:1519-1523. [PMID: 34693351 PMCID: PMC8511468 DOI: 10.1016/j.jaccas.2021.07.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 07/09/2021] [Accepted: 07/15/2021] [Indexed: 06/13/2023]
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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Affiliation(s)
- Bharadwaj Satyavolu
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Hamza A. Lodhi
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Adithya Mathews
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Priya Bansal
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Haider Altaii
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Ramez Morcos
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Anand Desai
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Brijeshwar Maini
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
| | - Houman Khalili
- Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
- Department of Internal Medicine, Delray Medical Center, Delray Beach, Florida, USA
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