Polymicrobial bacterial pericarditis and cardiac tamponade caused by pericardial penetration of an adjustable gastric band.
Ype de JongRhiannon B van LoenhoutDingeman J SwankCasper L JansenBastiaan J SorgdragerPublished in: BMJ case reports (2018)
We describe a case of polymicrobial bacterial pericarditis with Klebsiella pneumoniae and Proteus mirabilis, caused by pericardial penetration of the tip of the catheter of a laparoscopic adjustable gastric band (LAGB). The patient developed a cardiac tamponade, and subsequently emergency pericardiocentesis was performed. Analysis of earlier CT scans showed that the tip of the catheter had migrated through the liver and through the diaphragm into the pericardium, and was in contact with the myocardium. After stabilisation he was operated to remove the LAGB. In this case report, we describe the chain of events that led to the polymicrobial pericarditis-a complication of LAGB placement that to our knowledge has thus far never been reported. We furthermore present a detailed literature review of all published cases of polymicrobial pericarditis and its causes.
Keyphrases
- case report
- klebsiella pneumoniae
- computed tomography
- multidrug resistant
- healthcare
- ultrasound guided
- left ventricular
- escherichia coli
- emergency department
- public health
- dual energy
- contrast enhanced
- magnetic resonance imaging
- robot assisted
- randomized controlled trial
- mechanical ventilation
- positron emission tomography
- intensive care unit
- extracorporeal membrane oxygenation
- laparoscopic surgery
- light emitting