Mogadishu Somali-Turkish Training and Research Hospital, Mogadishu, Somalia.
Abstract
Uremic pericarditis is a major complication of acute or chronic end-stage renal disease (ESRD). A significant cause of morbidity and mortality in most hemodialysis programs, uremic pericarditis can occur before dialysis or on dialysis. The causes of uremic and dialysis pericarditis remain uncertain. Accurate hemodialysis and pericardiocentesis result in marked improvements. The diagnosis of uremic pericarditis, in addition to other causes such as idiopathic, malignant, coagulopathy, and tuberculous pericarditis, should, therefore, be considered in the differential diagnosis for cases presenting with hemorrhagic pericardial effusion. Here, we describe a 50-year-old man, who presented with shortness of breath and altered levels of consciousness of 5 days’ duration with a history of hypertension, diabetes, and ESRD on hemodialysis over the past 5 years. The patient was admitted to our hospital with a diagnosis of acute massive hemopericardium secondary to uremic pericarditis after staining and cytology detected an exudate pericardial effusion despite no evidence of infection (eg, tuberculosis) or malignancy. He was admitted into the intensive care unit and successfully managed with hemodialysis and pericardiocentesis. (Iranian Heart Journal 2021; 22(3): 119-122)
Launbjerg J, Fruergaard P, Hesse B, Jørgensen F, Elsborg L, Petri A. Long-term risk of death, cardiac events and recurrent chest pain in patients with acute chest pain of different origin. Cardiology. 1996; 87(1):60-6.
Rostand SG, Rutsky EA. Pericarditis in end-stage renal disease. Cardiology clinics. 1990 Nov 1; 8(4):701-8.
Rutsky EA, Rostand SG. Pericarditis in end‐stage renal disease: clinical characteristics and management. InSeminars in Dialysis 1989 Mar (Vol. 2, No. 1, pp. 25-30). Oxford, UK: Blackwell Publishing Ltd.
Wacker W, Merrill JP. Uremic pericarditis in acute and chronic renal failure. Journal of the American Medical Association. 1954 Oct 23; 156(8):764-5.
Mercé J, Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J. Should pericardial drainage be performed routinely in patients who have a large pericardial effusion without tamponade?. The American journal of medicine. 1998 Aug 1; 105(2):106-9.
Hayase N, Inokuchi R, Nakamura K, Horie R, Sato H, Asada T, Ohashi N, Yamamoto M, Nagatomo K, Ito R, Gunshin M. Sudden cardiac arrest caused by tuberculous pericarditis with hemorrhagic pericardial effusion. Internal Medicine. 2012; 51(22):3197-201.
Dad T, Sarnak MJ. Pericarditis and pericardial effusions in end‐stage renal disease. InSeminars in dialysis 2016 Sep (Vol. 29, No. 5, pp. 366-373).
Kwasnik EM, Koster Jr JK, Lazarus JM, Sloss LJ, Mee RB, Cohn LH, Collins Jr JJ. Conservative management of uremic pericardial effusions. The Journal of thoracic and cardiovascular surgery. 1978 Nov 1; 76(5):629-32.
Adani, A., & Yusuf Mohamud, M. (2021). Successful Management of Massive Hemopericardium Secondary to Uremic Pericarditis: A Case Report. Iranian Heart Journal, 22(3), 119-122.
MLA
Abdulkamil Abdullahi Adani; Mohamed Farah Yusuf Mohamud. "Successful Management of Massive Hemopericardium Secondary to Uremic Pericarditis: A Case Report". Iranian Heart Journal, 22, 3, 2021, 119-122.
HARVARD
Adani, A., Yusuf Mohamud, M. (2021). 'Successful Management of Massive Hemopericardium Secondary to Uremic Pericarditis: A Case Report', Iranian Heart Journal, 22(3), pp. 119-122.
VANCOUVER
Adani, A., Yusuf Mohamud, M. Successful Management of Massive Hemopericardium Secondary to Uremic Pericarditis: A Case Report. Iranian Heart Journal, 2021; 22(3): 119-122.
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