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Pericardial tamponade presenting as abdominal pain in a patient with systemic lupus erythematosis

Published online by Cambridge University Press:  21 May 2015

Antonio E. Muñiz
Antonio E. Muñiz*
Affiliation:
Department of Emergency Medicine and Pediatrics, Medical College of Virginia, Richmond, Va.
*
401 North 12th St., PO Box 980401 Richmond VA 23298-0401, USA; aemuniz@aol.com

Abstract:

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Abdominal pain is a common complaint in children presenting to the emergency department. Patients with systemic lupus erythematosus (SLE) are at increased risk of infection, bowel necrosis and perforation, especially if they are taking nonsteroidal anti-inflammatory drugs, corticosteroids or immunosuppresive agents, which may mask the signs and symptoms of the underlying condition, hence delay diagnosis and treatment. This article presents the case of an adolescent girl whose abdominal pain was related to cardiac tamponade and provides an overview of the cardiac and gastrointestinal manifestations of SLE.

Keywords

abdominal painsystemic lupus erythematosispericardial effusioncardiac tamponade
Type
Case Reports • Observations
Information
Canadian Journal of Emergency Medicine , Volume 2 , Issue 2 , April 2000 , pp. 117 - 120
Copyright
Copyright © Canadian Association of Emergency Physicians 2000

References

1.Reynolds, SL, Jaffe, DM.Diagnosing abdominal pain in a pediatric emergency department. Pediatr Emerg Care 1992;8:126–8.Google Scholar
2.Bellamy, MC, Natarajan, V, Lenz, RJ.An unusual presentation of cardiac tamponade. Anaesthesia 1990;45:135–6.CrossRefGoogle ScholarPubMed
3.Schrager, RE, Phillips, GR, Kauder, DR, Schwab, CW.Traumatic pericardial tamponade presenting as mesenteric ischemia. Injury 1994;25:199.Google Scholar
4.Strimlan, CV, Turbiner, EH.Pleuropericardial effusions associated with chest and abdominal pain. Chest 1982;81:493–4.CrossRefGoogle ScholarPubMed
5.Mooney, DP, Malacynski, JT, Gupta, R, Shorter, NA.An unusual cause of penetrating cardiac injury in a child. J Pediatr Surg 1996;31:707–8.Google Scholar
6.Gupta, R, Munyak, J, Haydock, T, Gernsheimer, J.Hypothyroidism presenting as acute cardiac tamponade with viral pericarditis. Am J Emerg Med 1999;17:176–8.Google Scholar
7.Lehman, TJA.A practical guide to systemic lupus erythematosus. Pediatr Clin North Am 1995;42:1223–38.Google Scholar
8.Lang, BA, Lang, MD, Silvermann, ED.A clinical overview of systemic lupus erythematosus in childhood. Pediatr Rev 1993; 14:194–201.Google Scholar
9.Hess, E.Drug related lupus. N Engl J Med 1987;318:1460.Google Scholar
10.Emery, H.Clinical aspects of systemic lupus erythematosus in childhood. Pediatr Clin North Am 1986;33:1177–90.CrossRefGoogle ScholarPubMed
11.Badui, E, Garcia-Rubi, D, Robles, E, Jimenez, , Juan, L, Deleze, M, et al. Cardiovascular manifestations in systemic lupus erythematosus: prospective study of 100 patients. Angiology 1985;36:431–41.Google Scholar
12.Sturfelt, G, Eskilsson, J, Nived, O, Truedsson, L, Valind, S.Cardiovascular disease in systemic lupus erythematosus. A study of 75 patients from a defined population. Medicine 1993;71:216–23.Google Scholar
13.Kelly, TA.Cardiac tamponade in systemic lupus erythematosus: an unusual initial manifestation. South Med J 1987;80:514–6.Google Scholar
14.Gulati, S, Kumar, L.Cardiac tamponade as an initial manifestation of systemic lupus erythematosus in early childhood. Ann Rheum Dis 1992;51:279–80.Google Scholar
15.Reddy, PS, Curtiss, EI.Cardiac tamponade. Cardiol Clinics 1990;98:627–36.Google Scholar
16.Galve, E, Candell-Riera, J, Pigrau, C, Permanyer-Miralda, G, Garcia-Del-Castillo, H, Soler-Soler, J.Prevelance, morphologic types and evolution of cardiac valavular disease in systemic lupus erythematosus. N Engl J Med 1988;319:817–23.Google Scholar
17.Medina, F, Ayala, A, Jara, LJ, Becerra, M, Miranda, JM, Fraga, A.Acute abdomen in systemic lupus erythematosus: the importance of early laparotomy. Am J Med 1997;103:100–5.Google Scholar
18.Mueller, XM, Tevaearai, HT, Hurni, M, Ruchat, P, Fischer, AP, Stumpe, F, et al. Long-term results of surgical subxiphoid pericardial drainage. Thorac Cardiovasc Surg 1997;45:65–9.CrossRefGoogle ScholarPubMed
19.Chong, HH, Plotnick, GD.Pericardial effusion and tamponade: evaluation, imagin modalities, and management. Comp Ther 1995;21:378–85.Google Scholar