RT Journal Article
SR Electronic
T1 Lessons of the month 1: Cardiac tamponade: don't forget the pancreas
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP e414
OP e416
DO 10.7861/clinmed.2021-0078
VO 21
IS 4
A1 Mallikarjun Patil
A1 Syed Shafiq
A1 Sunu S Kurien
A1 Harshad Devarbhavi
YR 2021
UL http://www.rcpjournals.org/content/21/4/e414.abstract
AB Cardiac tamponade is a medical emergency, caused by rapid accumulation of fluid in the pericardium resulting in reduced ventricular filling which may result in pulmonary oedema, shock and death. The common causes of cardiac tamponade include malignancy, uraemia, infectious/idiopathic pericarditis, connective tissue diseases, post-cardiac surgery etc. Early recognition and treatment of the underlying cause of the tamponade along with pericardiocentesis improves the prognosis, otherwise untreated cardiac tamponade universally results in death. We report a rare case of 32-year-old man, who presented with cardiac tamponade due to a pancreatico-pericardial fistula secondary to pancreatitis and was successfully treated by endoscopic therapy.