Pericardial Injury: Obstructive and Septic Shock Secondary to Penetrating Thoracic Trauma: A Case Report
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Abstract
This case involves a 23-year-old male patient who sustained a left hemothorax trauma caused by a puncture object. Initially, the injury was managed as a simple left pneumothorax, and the patient was discharged in improved condition. However, 48 hours after the initial intervention, he re-presented with clinical signs consistent with obstructive and septic shock. Diagnostic evaluation revealed purulent pericarditis. An urgent surgical procedure was performed, including thoracotomy and creation of a pericardial window, to drain the purulent fluid accumulated in the pericardium. The patient was subsequently admitted to the intensive care unit and later transferred to the general hospital ward. Following a favorable clinical course and resolution of infection and shock signs, he was discharged in stable condition and good overall health.
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References
Lundin A, Akram S, Berg L, et al.: Thoracic injuries in trauma patients:epidemiology and its infuence on mortality. Scandiavian Journal of Trauma. 2022, 30:69. 10.1186/s13049-022-01058-6
Caputo G, Meda S, Piccioni A, et al.: Thoracic Trauma: Current Approach in Emergency Medicine . Clinics and practice. 2024, 14:1869-1885. 10.3390/clinpract14050148
Birrer D, Edu S, Nicol A, et al.: Penetrating chest trauma. Journal Of Visualized Surgery. 2020, 6:9. 10.21037/jovs.2019.10.03
Medrano Y, Quintana R, Barrueto Y, et al.: Lesión cardíaca Por Arma Blanca Inadvertida Durante La evaluación Inicial En El Servicio De Emergencia.. Revista Colombiana de Cirugía. 2024, 39:148-154. 10.30944/20117582.2330
González A, Ordoñez C, Parra M, et al.: El Control de daños en el trauma cardiaco penetrante. . Colombiana Medica. 2021, 52:2. 10.25100/cm.v52i2.4519
Mohamed S, Osman A, Patel A, et al.: Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation.. Elsevier Trauma Case Reports. 2020, 29:100340. 10.1016/j.tcr.2020.100340
Milian E, Betancourt L, Romero C: Pericarditis purulenta, taponamiento cardiaco e hipotiroidismo. Medicina Interna de México. 2021, 37:890-895. 10.24245/mim.v37i5.3729
Esumi R, Kaneko T, Akama Y, et al.: Identification of a small pericardial effusion on contrast-enhanced computed tomography indicating cardiac perforation and pericardial injury following blunt trauma: A case report. Elsevier Trauma Case Reports. 2021, 35:100515. 10.1016/j.tcr.2021.100515
Yamani N, Abbasi A, Almas T, et al.: Diagnosis, treatment, and management of pericardial effusion- review. Annals of Medicine & Surgery. 2022, 80:104142. 10.1016/j.amsu.2022.104142
Lasek J, Jadczuk E: Thoracic trauma - principals of surgical management . European Journal Of Translational And Clinical Medicine. 2020, 3(1):66-73. 10.31373/ejtcm/120124
Selvakumar S, Newsome K, Nguyen T, et al.: The Role of Pericardial Window Techniques in the Management of Penetrating Cardiac Injuries in the Hemodynamically Stable Patient: Where Does It Fit in the Current Trauma Algorithm?. Journal of Surgical Research. 2022, 276:120-135. 10.1016/j.jss.2022.02.018
Moore E, Cogbill T, Malangoni M, et al. Scaling system for organ specific injuries. 1996 Current Opinion in Critical Care 2(6):p 450-462, December.