Author/Authors :
Reyes, Hans A. Department of Medicine - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Islam, Julie Department of Medicine - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Talebi, Soheila Department of Medicine - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Cativo, Eder Department of Medicine - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Mushiyev, Savi Division of Cardiology - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Pekler, Gerald Division of Cardiology - New York Medical College - Metropolitan Hospital Center, Valhalla, USA , Visco, Ferdinand Division of Cardiology - New York Medical College - Metropolitan Hospital Center, Valhalla, USA
Abstract :
Presentation of pericardial disease is diverse, with the viral aetiology being the most common cause; however, when haemorrhagic
pericardial effusion is present, these causes are narrowed to few aetiologies. We present a case of a young female of African
descent who presented with diffuse abdominal pain and vomiting. Initial work-up showed pericardial effusion with impending
echocardiographic findings of cardiac tamponade and bilateral pleural effusions. Procedures included a left video-assisted
thoracoscopic surgery (VATS) with pericardial window. We consider that it is important for all physicians to be aware of not only
typical presentation but also atypical and unusual clinical picture of pericardial disease.
