Related Experiment Video
Updated: Aug 26, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Haemorrhagic peritonitis as a late complication of echocardiography guided pericardiocentesis
H Luckraz1, S Kitchlu, A Youhana
1Cardiothoracic Unit, Morriston Hospital, Swansea NHS Trust, Morriston, Swansea, UK. HeymanLuckraz@aol.com
Insights
Echocardiography-guided pericardiocentesis, a safe procedure for post-cardiac surgery effusions, can rarely lead to complications like hemorrhagic peritonitis.
Area of Science:
- Cardiology
- Medical Procedures
Background:
- Pericardial effusion is an uncommon complication following cardiac surgery.
- Pericardiocentesis is a procedure to remove fluid from the pericardium.
Observation:
- This case report details a patient who underwent echocardiography-guided pericardiocentesis after cardiac surgery.
- The procedure was initially considered safe and avoided general anesthesia.
Findings:
- Several days post-procedure, the patient developed hemorrhagic peritonitis.
- This represents a rare but serious complication of echocardiography-guided pericardiocentesis.
Implications:
- While echocardiography guidance is generally safe, clinicians must be aware of potential delayed complications.
- Further research may be needed to understand and mitigate risks associated with this procedure in post-cardiac surgery patients.
Abstract:
Clinically significant pericardial effusion is an uncommon complication after cardiac surgery. Pericardiocentesis can be performed either through a mini-sternotomy or under echocardiography guidance. Echocardiography guidance is a relatively safe procedure and it avoids the need for another general anaesthetic. However, in this post cardiac surgical patient echocardiography guided pericardiocentesis was complicated several days later by haemorrhagic peritonitis.
Related Concept Videos
Cardiac Catheterization II: Right Heart Catheterization
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Cardiac Catheterization I: Pre-Procedure Overview
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...