Hemopericardium in the acute clinical setting: Are we ready for a tailored management approach on the basis of MDCT findings?
Computed Tomography
Diagnosis
Etiology
Hemorrhagic effusion
Management
Pericardial disease
Journal
La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
23
06
2020
accepted:
20
10
2020
pubmed:
3
11
2020
medline:
14
4
2021
entrez:
2
11
2020
Statut:
ppublish
Résumé
The clinical spectrum of pericardial effusions varies from innocuous serous fluid to life-threatening hemopericardium. A misdiagnosis may be made by similar clinical presentation of acute chest pain/hypotension. Echocardiography is the first-line test for diagnosis of pericardial effusion and its etiology, but sometimes there are different drawbacks to the correct cardiovascular ultrasound diagnosis. Radiologists are reporting an increasing amount of thoracic Multidetector CT examinations at the emergency department. Multidetector CT has now become an established and complementary method for cardiac imaging, and diseases of the pericardium can now be quickly identified with increasing certainty. The aim of this review is to discuss the hemopericardium key Multidetector CT features in acute clinical setting which indicate the need to proceed with predominantly medical or surgical treatment, however, being able to identify forms of bleeding pericardial effusion for which only "a watch and wait strategy" and/or deferred treatment is indicated. In the emergency care setting, radiologists must be aware of different findings of hemopericardium in order to address a tailored and timely management approach.
Identifiants
pubmed: 33136215
doi: 10.1007/s11547-020-01303-x
pii: 10.1007/s11547-020-01303-x
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
527-543Références
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