A Pericardial Cyst Causing Obstructive Shock

A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful.

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Acute pericardial tamponade: The initial manifestation of systemic lupus erythematosus with Graves’ hyperthyroidism

Lupus ◽

10.1177/09612033211004729 ◽

2021 ◽

pp. 096120332110047

Author(s):

Muming Yu ◽

Yulei Gao ◽

Heng Jin ◽

Songtao Shou

Keyword(s):

Myocardial Infarction ◽

Systemic Lupus Erythematosus ◽

Female Patient ◽

Lupus Erythematosus ◽

Pericardial Tamponade ◽

Medical Emergency ◽

Systemic Lupus ◽

Initial Manifestation ◽

Life Threatening ◽

Obstructive Shock

Acute pericardial tamponade, which can cause obstructive shock, is a serious life-threatening medical emergency that can be readily reversed by timely identification and appropriate intervention. Acute pericardial tamponade can occur for a number of reasons, including idiopathic, malignancy, uremia, iatrogenic, post-myocardial infarction, infection, collagen vascular, hypothyroidism, and others. Systemic lupus erythematosus (SLE) and hyperthyroidism associated with pericardial tamponade are rarely reported. Here, we report the case of a 20-year-old female patient was final diagnosed of SLE with Graves’ hyperthyroidism.

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Pericardial cyst: an unusual cause of pneumonia

Cases Journal ◽

10.1186/1757-1626-1-26 ◽

2008 ◽

Vol 1 (1) ◽

Cited By ~ 5

Author(s):

Wael Faroug Elamin ◽

Kieran Hannan

Keyword(s):

Pericardial Cyst

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A foreign body granuloma simulating a pericardial cyst: an unusual case report

British Journal of Radiology ◽

10.1259/0007-1285-50-595-522 ◽

1977 ◽

Vol 50 (595) ◽

pp. 522-523

Author(s):

R. P. Uflacker ◽

D. L. Duarte

Keyword(s):

Case Report ◽

Foreign Body ◽

Unusual Case ◽

Foreign Body Granuloma ◽

Pericardial Cyst ◽

Unusual Case Report

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Obstructive shock secondary to fungal prosthetic aortic valve endocarditis

World Journal of Emergency Medicine ◽

10.5847/wjem.j.1920-8642.2018.03.011 ◽

2018 ◽

Vol 9 (3) ◽

pp. 227 ◽

Cited By ~ 1

Author(s):

Emilio Rodriguez-Ruiz ◽

Diego Iglesias-Alvarez ◽

Carlos Pe a-Gil

Keyword(s):

Aortic Valve ◽

Prosthetic Aortic Valve ◽

Obstructive Shock

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Life-threatening presentation of a parahiatal hernia after esophagectomy: a case report and review of the literature

BMJ Case Reports ◽

10.1136/bcr-2021-242158 ◽

2021 ◽

Vol 14 (6) ◽

pp. e242158

Author(s):

Camille Plourde ◽

Émilie Comeau

Keyword(s):

Small Bowel ◽

Transverse Colon ◽

Acute Abdominal Pain ◽

Haemodynamic Instability ◽

Acute Setting ◽

X Ray ◽

Left Diaphragm ◽

Life Threatening ◽

Chest X Ray ◽

Obstructive Shock

A woman presented to our hospital with acute abdominal pain 7 months following an oesophagectomy. A chest X-ray revealed a new elevation of the left diaphragm. CT demonstrated a large left diaphragmatic hernia incarcerated with non-enhancing transverse colon and loops of small bowel. She deteriorated rapidly into obstructive shock and was urgently brought to the operating room for a laparotomy. The diaphragmatic orifice was identified in a left parahiatal position, consistent with a parahiatal hernia. Incarcerated necrotic transverse colon and ischaemic loops of small bowel were resected, and the diaphragmatic defect was closed primarily. Because of haemodynamic instability, the abdomen was temporarily closed, and a second look was performed 24 hours later, allowing anastomosis and definitive closure. Parahiatal hernias are rare complications following surgical procedures and can lead to devastating life-threatening complications, such as an obstructive shock. Expeditious diagnosis and management are required in the acute setting.

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