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CT引导下心包穿刺术治疗一例因肠心包瘘导致的张力性心包积气和心包填塞

CT-Guided Pericardiocentesis in a Case of Tension Pneumopericardium and Tamponade Secondary to an Enteropericardial Fistula.

作者信息

Ibrahim Ali O, Jaber Fouad, Alghizzawi Moh'd, Metzinger Mark, Asif Talal

机构信息

Department of Medicine, University of Missouri, Kansas City School of Medicine, Kansas City, Missouri, USA.

出版信息

JACC Case Rep. 2023 Jun 20;18:101909. doi: 10.1016/j.jaccas.2023.101909. eCollection 2023 Jul 19.

Abstract

Tension pneumopericardium is most commonly traumatic. Nontraumatic etiologies are rare, but have been reported with gastropericardial and esophagopericardial fistulas. We present the case of a 54-year-old patient who developed a tension pneumopericardium with tamponade secondary to a perforated marginal ulcer in the proximal jejunum with an enteropericardial fistula. ().

摘要

张力性心包积气最常见于创伤性。非创伤性病因罕见,但已有胃心包瘘和食管心包瘘的相关报道。我们报告一例54岁患者,该患者因空肠近端边缘溃疡穿孔并伴有肠心包瘘而出现张力性心包积气并伴有心包填塞。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1fb/10401056/4dd636996b23/fx1.jpg

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