Pericardial tamponade with a milky appearance

Authors

  • Ruthnorka González-Natera Department of Intensive Care Medicine, Hospital General de la Defensa de Zaragoza, Zaragoza, Spain. https://orcid.org/0000-0001-7025-4979
  • Ernesto García Department of Intensive Care Medicine, Hospital General de la Defensa de Zaragoza, Zaragoza, Spain.
  • María Dolores Vicente Department of Intensive Care Medicine, Hospital General de la Defensa de Zaragoza, Zaragoza, Spain.
  • Santiago Temiño Department of Intensive Care Medicine, Hospital General de la Defensa de Zaragoza, Zaragoza, Spain.
  • Domingo Ruiz-de la Cuesta Department of Intensive Care Medicine, Hospital General de la Defensa de Zaragoza, Zaragoza, Spain.

DOI:

https://doi.org/10.32818/reccmi.a7n2a6

Keywords:

pericardial tamponade, parenteral nutrition, central venous catheterization, critical care, case report

Abstract

Central venous catheterisation is a common procedure nowadays, but it is not without complications. A rare complication with high mortality is myocardial perforation.

We present the case of a patient admitted to our department after emergency abdominal surgery, carrying a central venous catheter for parenteral nutrition, who 48 hours after admission presented with pericardial tamponade secondary to cardiac perforation and extravasation of parenteral nutrition. This clinical case highlights an infrequent but severe compilation requiring a high suspicion index for diagnosis and treatment.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

González Fernández C, Rodríguez Borregán JC, Fernández Rico R, Valero Díaz de Lamadrid C, Ordóñez González J. Taponamiento cardíaco tras cambio de catéter venoso central, sobre guía, para nutrición parenteral total: ¿Lo podemos evitar? Nutr. Hosp. [Internet]. 2003 Feb [citado 2022 Abr 27]; 18(1): 46-50. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112003000100007&lng=es.

Aubaniac R. L'injection intraveineuse sous-claviculaire; avantages et technique. Presse Med. 1952; 60(68): 1456.

Vázquez-Martínez A, Illodo Miramontes G, López Pérez A, Domínguez Hervella F, Casas García ML, Álvarez Fernández V. Taponamiento cardíaco por catéter venoso central de acceso periférico. Arch Med 2007; 3(2). Accesible en: https://www.redalyc.org/pdf/503/50330201.pdf (último acceso: abril 2022).

Garcia DP, Neto CS, Hubner PN, Furtado Tde A, Petroianu A, Alberti LR. Cardiac tamponade as a complication of parenteral nutrition. Int J Surg Case Rep. 2015;8C:144-6. doi: https://doi.org/10.1016/j.ijscr.2015.01.037.

Booth SA, Norton B, Mulvey DA. Central venous catheterization and fatal cardiac tamponade. Br J Anaesth. 2001 Aug;87(2):298-302. doi: https://doi.org/10.1093/bja/87.2.298.

Morales-Martínez A, Martínez-Rivera V, Núñez-Caro L, Picazo-Angelín B, Milano-Manso G. Taponamiento cardiaco atípico por reservorio venoso central. ¿Podemos prevenirlo? An Pediatr (Barc). 2015; 82(4): 282-284. doi: https://doi.org/10.1016/j.anpedi.2014.05.020.

Adler Y, Charron P, Imazio M, Badano L, Barón-Esquivias G, Bogaert J et al. Guía ESC 2015 sobre el diagnóstico y tratamiento de las enfermedades del pericardio. Rev Esp Cardiol (Engl Ed). 2015; 68(12): 1126. doi: https://doi.org/10.1016/j.rec.2015.10.008.

Rutherford JS, Merry AF, Occleshaw CJ. Depth of central venouscatheterization: an audit of practice in a cardiac surgical unit.Anaesth Intensive Care 1994; 22(3): 267-71. doi: https://doi.org/10.1177/0310057X9402200303.

Published

2022-08-30

How to Cite

1.
González-Natera R, García E, Vicente MD, Temiño S, Ruiz-de la Cuesta D. Pericardial tamponade with a milky appearance. Rev Esp Casos Clin Med Intern [Internet]. 2022 Aug. 30 [cited 2024 Dec. 22];7(2):15-7. Available from: https://www.reccmi.com/RECCMI/article/view/745