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Polymicrobial bacterial pericarditis and cardiac tamponade caused by pericardial penetration of an adjustable gastric band.
de Jong, Ype; van Loenhout, Rhiannon B; Swank, Dingeman J; Jansen, Casper L; Sorgdrager, Bastiaan J.
Afiliación
  • de Jong Y; Department of Internal Medicine, Haaglanden Medical Centrum, The Hague, Netherlands.
  • van Loenhout RB; Department of Radiology, Haaglanden Medical Centrum, The Hague, Netherlands.
  • Swank DJ; Department of Bariatric Surgery, Groene Hart Hospital, Gouda, Netherlands.
  • Jansen CL; Department of Medical Microbiology, Haaglanden Medical Centrum, The Hague, Netherlands.
  • Sorgdrager BJ; Department of Cardiology, Haaglanden Medical Centrum, The Hague, Netherlands.
BMJ Case Rep ; 20182018 Feb 16.
Article en En | MEDLINE | ID: mdl-29453210
We describe a case of polymicrobial bacterial pericarditis with Klebsiella pneumoniae and Proteus mirabilis, caused by pericardial penetration of the tip of the catheter of a laparoscopic adjustable gastric band (LAGB). The patient developed a cardiac tamponade, and subsequently emergency pericardiocentesis was performed. Analysis of earlier CT scans showed that the tip of the catheter had migrated through the liver and through the diaphragm into the pericardium, and was in contact with the myocardium. After stabilisation he was operated to remove the LAGB. In this case report, we describe the chain of events that led to the polymicrobial pericarditis-a complication of LAGB placement that to our knowledge has thus far never been reported. We furthermore present a detailed literature review of all published cases of polymicrobial pericarditis and its causes.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Pericarditis / Pericardio / Taponamiento Cardíaco / Derivación Gástrica / Migración de Cuerpo Extraño / Catéteres Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Pericarditis / Pericardio / Taponamiento Cardíaco / Derivación Gástrica / Migración de Cuerpo Extraño / Catéteres Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos