Brief Images: Massive pericardial effusion

S Chang1, S Maharaj1

  • 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.

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