Pericardial Tamponade from Purulent Pericarditis and Liver Abscess
LIVER ABSCESS ? INCITING CAUSE
51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E Coli
CT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrence
Patient subsequently expired
Ashley Davidoff MD
Pneumopericardium Following Percutaneous Drainage
51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E Coli
CT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrence
Patient subsequently expired
Ashley Davidoff MD
51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E Coli
CT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrence
Patient subsequently expired
Ashley Davidoff MD
References and Links
Garcia et al Purulent Pericarditis after Liver Abscess: A Case Report
Case Rep Med. 2014; 2014: 735478.