Iatrogenic Traumatic Regional Pericarditis Secondary to Chest Tube Placement: A Case Report

A 63-year-old female patient with left-sided empyema underwent chest tube placement. Computed tomography (CT) imaging showed the chest tube with its distal end abutting the posterior pericardium. The tube was suspected to be positioned intraparenchymally and thereby kept in position. Twelve days later, the patient developed new inferolateral ST-segment elevations with PR depressions on electrocardiogram (ECG), a new moderate pericardial effusion on chest CT, and a pericardial rub on auscultation.

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Journal
CJC Open
Published
2025-04-07
DOI
https://doi.org/10.1016/j.cjco.2025.04.001
Primary Topic
Pericarditis and Cardiac Tamponade
Type
article
Field-Weighted Citation Impact
0.00
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article

Iatrogenic Traumatic Regional Pericarditis Secondary to Chest Tube Placement: A Case Report

Nadia Giannetti, Dandan Ji, Connor J Prosty, Kelly Garbis
CJC Open
Pericarditis and Cardiac Tamponade
article

Iatrogenic Traumatic Regional Pericarditis Secondary to Chest Tube Placement: A Case Report

Nadia Giannetti, Dandan Ji, Connor J Prosty, Kelly Garbis
article en

Abstract

A 63-year-old female patient with left-sided empyema underwent chest tube placement. Computed tomography (CT) imaging showed the chest tube with its distal end abutting the posterior pericardium. The tube was suspected to be positioned intraparenchymally and thereby kept in position. Twelve days later, the patient developed new inferolateral ST-segment elevations with PR depressions on electrocardiogram (ECG), a new moderate pericardial effusion on chest CT, and a pericardial rub on auscultation.

CJC OpenVol. 7(6)
McGill University Health Centre (CA)
Good health and well-being
Openalex Percentile: Top 88%
Pericarditis and Cardiac Tamponade
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