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September 1971

Pancreatitis Complicated by Pericardial Effusion and Cardiac Tamponade: Recovery After Prolonged Cerebral Anoxia

Author Affiliations

Columbia, Mo
From the Department of Surgery, University of Missouri School of Medicine, Columbia.

Arch Surg. 1971;103(3):414-416. doi:10.1001/archsurg.1971.01350090096022

While ascites and pleural effusions are recognized complications of benign pancreatic disease, pericardial effusion is extremely rare. A case of subacute pancreatitis was accompanied by the sudden development of cardiac tamponade. Open-chest cardiac resuscitation was successful, although the postarrest course was complicated by prolonged coma, respiratory tract insufficiency, and ileus. With respiratory tract support, steroids, and intravenous hypertonic total parenteral alimentation, the patient eventually made a satisfactory recovery.