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Pericardial Injury: Obstructive and Septic Shock Secondary to Penetrating Thoracic Trauma: A Case Report

Year: 2025

Type: article

Abstract: This case involves a 23-year-old male patient who sustained a left hemothorax trauma caused by a puncture object. Initially, the injury was managed as a simple left pneumothorax, and the patient was discharged in improved condition. However, 48 hours after the initial intervention, he re-presented with clinical signs consistent with obstructive and septic shock. Diagnostic evaluation revealed purulent pericarditis. An urgent surgical procedure was performed, including thoracotomy and creation of a pericardial window, to drain the purulent fluid accumulated in the pericardium. The patient was subsequently admitted to the intensive care unit and later transferred to the general hospital ward. Following a favorable clinical course and resolution of infection and shock signs, he was discharged in stable condition and good overall health.

Source: International Journal of Medical Science and Clinical Research Studies

DOI: 10.5281/zenodo.15486892

Authors: José Arturo Estrada-González, Alfredo Sinahi Abarca-Magallon, Carlos Iskyam Zaldo-Arredondo, Roberto Elías Damacio-Breton, Rocio Guadalupe García-Espinosa

Institution: Institute for Social Security and Services for State Workers

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W6912241995

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