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The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound\u2010guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. On review of the imaging, it is likely a surgically\u2010placed permanent metallic fixation device, sitting near the pericardium, caused bleeding into the pericardial sac due to local trauma as a delayed postoperative complication.<\/jats:p>","DOI":"10.1002\/anr3.12008","type":"journal-article","created":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:05:05Z","timestamp":1555027505000},"page":"26-28","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A rare late complication of traumatic diaphragmatic hernia repair"],"prefix":"10.1002","volume":"7","author":[{"given":"A.","family":"Weir","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Torbay Hospital Torquay UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Torbay Hospital Torquay UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Bowling","sequence":"additional","affiliation":[{"name":"Department of Surgery Torbay Hospital Torquay UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Surgery Torbay Hospital Torquay UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Guest","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Torbay Hospital Torquay UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.62122"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.5348\/ijcri-201776-CR-10815"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.024810"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra022643"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.08.009"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.276065002"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/503254"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)64888-X"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12008","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:45:53Z","timestamp":1759938353000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1002\/anr3.12008"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12008","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2019,1]]},"assertion":[{"value":"2019-03-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}