was observed in 5 cases only (2%); 3 due to penetrating injury and 2 were due to blunt force injury.
Kahn, "Sternotomy or drainage for a haemopericardium
after penetrating trauma: a randomized controlled trial," Annals of Surgery, vol.
He was investigated and on CT scan was found to have haemopericardium
and metallic bullet posterior to the heart.
With rapid advancement in the catheter based interventions more and more cases of inadvertent cardiac perforation and development of haemopericardium
as a complication are being seen.
and gastrointestinal haemorrhage due to possible interaction of cranberry juice with warfarin.
(24) We do not practise FAST at all, and have found no place for US for penetrating abdominal trauma except in the stable patient with a suspected haemopericardium
. At present the major role for laparosocopy in penetrating abdominal trauma may be in stable patients with anterior abdominal stab wounds who either have documented peritoneal breach or left thoracoabdominal stab wounds with suspected occult diaphragm injuries.
Table comparing the Procedural Complications of the Study Group Characteristics Male Female P value N (%) N (%) Moderate-to-Severe 5 (1.03%) 1 (1.08%) 0.962 Bleeding (Gastrointestinal + Intracranial Bleed) Contrast Nephropathy 9 (1.86%) 3 (3.26%) 0.388 Thrombocytopenia 5 (1.03%) 0 0.328 CVA 2 (0.41%) 1 (1.08%) 0.448 Haemopericardium
3 (0.62%) 0 0.449 AV Fistula 1 (0.21%) 0 0.660 Stent Embolisation 1 (0.21%) 0 0.660 Dissecting Aneurysm 1 (0.21%) 0 0.660 of Femoral Artery Acute Femoral Arterial 1 (0.21%) 0 0.660 Occlusion Table VII.
Firearm injuries of the chest were haemothorax, tension pneumothorax, pneumothorax and pericardial temponade.13 We received two patients with haemopericardium
who were managed conservatively by putting pericardial drains under echo guidance and were referred to specialised centres.