EJMCR |

Case Report

Volume: 7 | Issue: 9 | Published: Feb 08, 2024 | Pages: 192 - 196 | DOI: 10.24911/ejmcr/173-1682074696

Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion

Authors: Mehmet Cihat Demir , Erdinc Senguldur , Kudret Selki , Osman Kayapinar

Article Info

Authors

Mehmet Cihat Demir

Department of Emergency Medicine, School of Medicine, Duzce University, Duzce, Turkey

ORCID

Erdinc Senguldur

Department of Emergency Medicine, School of Medicine, Duzce University, Duzce, Turkey

ORCID

Kudret Selki

Department of Emergency Medicine, School of Medicine, Duzce University, Duzce, Turkey

ORCID

Osman Kayapinar

Department of Cardiology, School of Medicine, Duzce University, Duzce, Turkey.

ORCID

Publication History

Received: April 21, 2023

Revised: June 18, 2023

Accepted: August 25, 2023

Published: February 08, 2024

Abstract

Here, we present a case of recurrent chronic massive pericardial effusion without the development of tamponade. The patient was diagnosed with idiopathic chronic massive pericardial effusion, with a history of pericardiocentesis every five years, and no etiology was found. Emergency pericardiocentesis was not considered because the vital signs of the patient who was admitted with the complaint of shortness of breath were stable at the time of admission. However, the patient with simultaneous carbon dioxide retention was connected to a non-invasive mechanical ventilator for treatment. Hypotension and tachycardia developed rapidly. This case, the largest pericardial effusion (16 cm) in the literature, demonstrates the critical importance of pericardial space elastic flexibility on the hemodynamic profile. In addition, mechanical ventilation administration in a patient with pericardial effusion can quickly disrupt the clinic and be fatal. Therefore, pericardiocentesis should be performed first.

Keywords: massive pericardial effusion, pericardiocentesis, non-invasive mechanical ventilator, hemodynamic, green

Pubmed Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR. 2024; 08 (February 2024): 192-196. doi:10.24911/ejmcr/173-1682074696

Web Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. https://ejmcr.com/articles/1271 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1682074696

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR. (2024), [cited December 25, 2024]; 08 (February 2024): 192-196. doi:10.24911/ejmcr/173-1682074696

Harvard Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar (2024) Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR, 08 (February 2024): 192-196. doi:10.24911/ejmcr/173-1682074696

Chicago Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar. "Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion." 08 (2024), 192-196. doi:10.24911/ejmcr/173-1682074696

MLA (The Modern Language Association) Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar. "Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion." 08.February 2024 (2024), 192-196. Print. doi:10.24911/ejmcr/173-1682074696

APA (American Psychological Association) Style

Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar (2024) Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. , 08 (February 2024), 192-196. doi:10.24911/ejmcr/173-1682074696