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Brief Images: Massive pericardial effusion
1Eric Williams Medical Sciences Complex, University of the West Indies , Trinidad and Tobago .
Insights
Massive pericardial effusion in children, though rare, requires prompt medical attention. This case highlights connective tissue disease as a cause of recurrent pericardial effusion in pediatric patients.
Area of Science:
- Pediatric Cardiology
- Pediatric Rheumatology
- Pediatric Critical Care
Background:
- Pericardial effusion, the abnormal accumulation of fluid in the pericardial sac, is an uncommon yet significant condition in childhood.
- Prompt diagnosis and management are crucial for favorable outcomes in pediatric patients with pericardial effusions.
Observation:
- A pediatric patient presented with a massive pericardial effusion, identified via cross-sectional imaging.
- The effusion was recurrent and associated with a left-sided pleural effusion.
Findings:
- Connective tissue disease was identified as the underlying etiology for the recurrent pericardial effusion.
- The imaging findings were consistent with a massive pericardial effusion.
Implications:
- Clinicians should maintain a high index of suspicion for pericardial effusion in pediatric patients.
- A thorough evaluation is essential for all children presenting with large pericardial effusions to determine the underlying cause and guide appropriate management.
- Early recognition and management of connective tissue disease-related pericardial effusions can prevent complications.
Abstract:
Significant pericardial effusions are an uncommon but very important disorder in childhood. In our patient, cross-sectional imaging demonstrated a massive pericardial effusion. The underlying etiology here was connective tissue disease causing recurrent pericardial effusion. An associated left-sided pleural effusion was noted. Clinicians must be aware of this disorder in the pediatric age group, performing a thorough evaluation in all children with large pericardial effusions, and managing appropriately.
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