Poudel DR, Giri S, Pathak R, Morsey M, Alsafwah S. Late onset seroma post-thymectomy presenting as cardiac tamponade.
J Community Hosp Intern Med Perspect 2015;
5:27459. [PMID:
26091658 PMCID:
PMC4475261 DOI:
10.3402/jchimp.v5.27459]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Revised: 04/17/2015] [Accepted: 04/21/2015] [Indexed: 11/14/2022] Open
Abstract
Late onset seroma is a rare post-operative complication occurring after various surgeries including thymectomy. Most cases are asymptomatic; however, seromas occurring in the mediastinal cavity may cause compression symptoms including airway compression or cardiac tamponade. We present a 62-year-old male with a history of thymectomy for myasthenia gravis who presented with cardiac tamponade several years ago. Further evaluation revealed a late onset seroma anteriorly compressing the cardiac chambers resulting in tamponade physiology.
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