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1. Polymicrobial Purulent Pericarditis From a Pancreatico-Pericardial Fistula

Author

Christopher Richardson, DO, Mark Cromer, MD, Luis Tatem, MD, Raymond Wade, MD, and Derek Russell, MD

Subjects
computed tomography, imaging, pancreatic pseudocyst, pancreatitis, pericardial effusion, pericarditis, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

A 54-year-old male with chronic pancreatitis presented with dyspnea. Computed tomography scans demonstrated a subdiaphragmatic fluid collection with pericardial fistulization. Pericardial fluid cultures were polymicrobial in nature. Purulent pericarditis is rare but carries a high mortality rate. We present the first documented case of pancreatico-pericardial fistulization causing purulent pericarditis.

Published
2024
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