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Blunt traumatic rupture of the pericardium with cardiac herniation

Published online by Cambridge University Press:  21 May 2015

James C.R. Rippey ,
Sudhakar Rao  and
Daniel Fatovich
James C.R. Rippey
Affiliation:
Trauma Fellow, Royal Perth Hospital, Perth, Western Australia
Sudhakar Rao
Affiliation:
Head, Department of General Surgery, Head, Trauma Service, Royal Perth Hospital
Daniel Fatovich
Affiliation:
University of Western Australia, Crawley, Western Australia; Emergency Physician, Royal Perth Hospital

Abstract

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Traumatic rupture of the pericardium with cardiac herniation is rare. Clinicians are often unfamiliar with the clinical and radiological manifestations of the injury, and the diagnosis is frequently missed preoperatively. This case report describes a patient with multiple trauma following a fall from a height, who developed this injury. The diagnosis was not made preoperatively despite suggestive clinical, electrocardiographic and radiological findings. Clinicians need to be aware of the presentation of this potentially fatal injury so that the diagnosis can be made and treatment instituted at an earlier stage. Pericardial rupture with cardiac herniation presents as cardiogenic shock, mimicking cardiac tamponade.

Keywords

traumaherniationpericardiumcardiacpericardial rupture
Type
Case Report • Observations De Cas
Information
Canadian Journal of Emergency Medicine , Volume 6 , Issue 2 , March 2004 , pp. 126 - 129
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

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