Cardiac tamponade as a complication of pseudocyst in chronic pancreatitis |
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Authors: | Oláh Attila Nagy Attila S Rácz István Gamal Mohamed E |
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Affiliation: | Department of Surgery, Petz Aladár Teaching Hospital of Haynal I. Medical University, 9002 Gy?r, P.O. Box: 92, Hungary. olah.seb@arrabonet.gyor.hu |
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Abstract: | Authors report a case of relapsing chronic calcifying pancreatitis with pleural and pericardial effusions during an episode of acute exacerbation. A large multilocular pancreatic pseudocyst expanded into the mediastinal space resulting in pericardial effusion that caused cardiac tamponade with severe circulatory deterioration. After resuscitation and pericardiocentesis a successful surgical procedure was performed, which produced rapid clinical improvement. Authors discuss this uncommon complication and review the proposed pathogenic mechanisms and possible therapeutic interventions. |
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