• Int Surg · Oct 1999

    Case Reports

    Intrapericardial tumbling bullet.

    • N L Simstein.
    • Department of Surgery, Forsyth Memorial Hospital, Winston-Salem, North Carolina, USA.
    • Int Surg. 1999 Oct 1;84(4):361-2.

    AbstractForeign bodies of the pericardium are rare and they are associated most commonly with significant trauma. The diagnosis of a pericardial foreign body can be difficult. One must distinguish between foreign matter in the cardiac chamber or free-floating in the mediastinum. Serial chest X-rays and fluoroscopy were most helpful to us. Neither CT scan nor an echocardiogram were particularly helpful. To prevent pericarditis, either sterile or non-sterile, with potential for other significant complications, removal of a pericardial foreign body is always indicated.

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