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November 2007 Br J Cardiol 2007;14:296

Pericardial tamponade due to ruptured pyogenic hepatic abscess

Sushma Rekhraj, Trevor Wistow

Abstract

Case report A 76-year-old diabetic male presented with a three-day history of central chest pain and breathlessness. Liver ultrasound performed two months previously due to abnormal liver function tests had shown two cysts but no action was taken. On examination, he looked unwell with a raised venous pressure. Computed tomography (CT) scan showed a 2 cm pericardial effusion and a large multi-locular cyst 12 cm x 9 cm arising from the left lobe of the liver and extending to the base of the heart (figure 1). Figure 1. Computed tomography (CT) scan showing the hepatic abscess and pericardial effusion Half-an-hour later, the patient went into tam

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