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Published on: May 16, 2025
Pericardial tamponade in a patient with inactive ulcerative colitis
Ali Rezaie1, Karen Wong, Gabor Gyenes
1Faculty of Medicine, University of Alberta, #409 11135 83 Ave Edmonton, Alberta, Edmonton, Canada T6G 2C6.
Insights
Cardiac tamponade, a rare complication of ulcerative colitis, can occur even after proctocolectomy. This case highlights its potential development years post-surgery without active medical treatment for the underlying condition.
Area of Science:
- Cardiology
- Gastroenterology
- Immunology
Background:
- Ulcerative colitis (UC) is an inflammatory bowel disease.
- Extraintestinal manifestations (EIMs) of UC can affect various organs.
- Cardiac tamponade is a rare but serious EIM.
Observation:
- A case of cardiac tamponade is reported.
- The patient had a history of ulcerative colitis.
- Tamponade occurred four years after curative proctocolectomy.
- No current medical therapy for UC was being administered.
Findings:
- Cardiac tamponade can manifest as an extraintestinal complication of ulcerative colitis.
- This complication can arise long after surgical remission of UC.
- The absence of active UC treatment does not preclude its development.
Implications:
- Highlights the importance of considering cardiac tamponade in UC patients, even post-surgery.
- Suggests a potential long-term inflammatory or autoimmune process.
- Medical management options for this rare complication warrant further discussion and research.
Abstract:
Cardiac tamponade is a rare extraintestinal manifestation of ulcerative colitis. We present a case report of tamponade occurring four years after curative proctocolectomy and in the absence of any medical therapy for ulcerative colitis. Options for medical management of this condition are also discussed.
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