TAILIEUCHUNG - Báo cáo y học: "Treatment of stasis dermatitis using aminaphtone: Blunt trauma as a suspected cause of delayed constrictive pericarditis: a case report."

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Treatment of stasis dermatitis using aminaphtone: Blunt trauma as a suspected cause of delayed constrictive pericarditis: a case report. | Anderson et al. Journal of Medical Case Reports 2011 5 76 http content 5 1 76 JOURNALOF medical case reports CASE REPORT Open Access Blunt trauma as a suspected cause of delayed constrictive pericarditis a case report Eric M Anderson Dawn E Jaroszewski Francisco A Arabia Abstract Introduction Constrictive pericarditis is a heterogeneous disease with many causes. Traumatic hemopericardium is an uncommon initiating cause. We report the case of a man developing constrictive pericarditis after blunt chest trauma in order to highlight an approach to diagnosing the condition and to raise awareness of the possibility of this condition developing after blunt trauma. Case presentation A 72-year-old Caucasian man presented initially to our outpatient clinic with a one-year history of progressively worsening dyspnea and recent onset of edema of the legs. He was later taken to the emergency department and admitted to hospital. He had previously received unsuccessful treatment from his local primary physicians for suspected respiratory disorder and cellulitis of his legs. Echocardiography showed evidence of pericardial constriction and computed tomography revealed nodular lobulated thickening of the pericardium and pleura bilaterally. Interventional biopsies were taken but gave inconclusive results. Thus as pericarditis and or advanced malignancy were suspected diagnostic video-assisted thoracoscopic surgery was performed to take biopsies from the abnormal lung and pericardial tissue. Examination of these supported the diagnosis of pericarditis as acute and chronic inflammation and fibrous thickening were found with no evidence of malignancy. Our patient underwent cardiac catheterization which revealed three-vessel coronary artery disease. Emergency total pericardiectomy and coronary bypass were performed. Having excluded other common initiating factors we considered that a blunt trauma that our patient had previously sustained to his chest was the .

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