Case Report: Massive intrapericardial hematoma following acupuncture therapy

Area of Science:

• Cardiology
• Emergency Medicine
• Medical Acupuncture

Background:

• Cardiac tamponade is a life-threatening condition requiring immediate intervention.
• Intrapericardial hematoma formation post-acupuncture is an exceptionally rare clinical event.
• Acupuncture, while generally safe, carries rare risks of cardiovascular complications.

Observation:

• An elderly female presented with acute chest pain and syncope during acupuncture.
• Diagnostic imaging revealed traumatic hemopericardium and acute cardiac tamponade.
• The patient also experienced cardiogenic shock secondary to the tamponade.

Findings:

• Ultrasound-guided pericardiocentesis and drainage were performed successfully.
• The procedure led to rapid symptom relief and vital sign stabilization.
• Post-procedure follow-up indicated a favorable clinical outcome.

Implications:

• This case highlights the importance of recognizing rare complications of acupuncture.
• It underscores the critical role of prompt diagnosis and ultrasound-guided intervention in cardiac tamponade.
• The report offers valuable insights for clinicians managing similar rare cardiovascular emergencies following acupuncture.