Delayed hemopericardium and associated pericardial mass after blunt chest trauma

Michael W Taylor1, James C Garber, William C Boswell

  • 1Department of General Surgery, Memorial Health University Medical Center, Savannah, GA, USA.

The American Surgeon
|April 29, 2003
PubMed

Insights

Pediatric pericardial effusion after trauma may indicate hemorrhage. This case highlights a rare cause of large pericardial effusion and mass in children, discussing its evaluation and treatment.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Pathology
  • Trauma Medicine

Background:

  • Pericardial effusion in children presents a broad differential diagnosis.
  • Trauma history in pediatric patients necessitates considering hemorrhagic pericardial effusion.
  • Identifying rare causes of pericardial effusion is crucial for appropriate management.

Observation:

  • A pediatric patient presented with a large pericardial effusion and an associated pericardial mass.
  • The patient's history included trauma, suggesting a potential hemorrhagic etiology.
  • This clinical presentation is uncommon in the pediatric population.

Findings:

  • The pericardial effusion was significant in size.
  • A distinct pericardial mass was identified alongside the effusion.
  • Diagnostic workup aimed to elucidate the nature of the effusion and mass.

Implications:

  • This case underscores the importance of considering hemorrhage in pediatric pericardial effusion with trauma.
  • Management strategies for rare pericardial pathologies in children require careful consideration.
  • Reviewing literature aids in understanding and treating such rare cardiovascular conditions in pediatric patients.

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