{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:02:14Z","timestamp":1793070134519,"version":"4.5.0"},"reference-count":10,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,27]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>We present a case of delayed-onset pericardial tamponade nine\u2009weeks after a blunt chest trauma. The patient is a 77-year-old man who presented with shortness of breath nine\u2009weeks after fracturing his sternum in a head-on motor vehicle collision. CT and echocardiography revealed a massive pericardial effusion prompting pericardiocentesis. Eight hundred millilitres (mL) of fluid were drained, which rapidly improved his symptoms. This is the longest reported interval between the development of tamponade and a blunt chest trauma. Our case illustrates the importance of maintaining a clinical suspicion for effusion and tamponade even weeks after non-penetrating chest wall injuries.<\/jats:p>","DOI":"10.1136\/bcr-2020-240317","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T11:56:46Z","timestamp":1615377406000},"page":"e240317","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Delayed presentation of pericardial tamponade following blunt chest trauma"],"prefix":"10.1136","volume":"14","author":[{"given":"Eldon","family":"Matthia","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1811-317X","authenticated-orcid":false,"given":"Ellery","family":"Altshuler","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhaval K","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,10]]},"reference":[{"key":"2025082709043855000_14.3.e240317.1","first-page":"21","article-title":"Post-cardiac injury syndrome: aetiology, diagnosis, and treatment","volume":"15","author":"Sasse","year":"2017","journal-title":"Eur Heart J"},{"key":"2025082709043855000_14.3.e240317.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.09.052"},{"key":"2025082709043855000_14.3.e240317.3","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2011.9.1"},{"key":"2025082709043855000_14.3.e240317.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(96)90165-5"},{"key":"2025082709043855000_14.3.e240317.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03477-X"},{"key":"2025082709043855000_14.3.e240317.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2007.07.080"},{"key":"2025082709043855000_14.3.e240317.7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4103\/0974-2700.150398","article-title":"Delayed recurrent pericarditis complicated by pericardial effusion and cardiac tamponade in a blunt trauma patient","volume":"8","author":"Khadir","year":"2015","journal-title":"J Emerg Trama Shock"},{"key":"2025082709043855000_14.3.e240317.8","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/ccr3.216","article-title":"Late onset hemopericardium with cardiac tamponade from minor blunt chest trauma - a case report","volume":"3","author":"Tabansi","year":"2015","journal-title":"Clin Case Rep"},{"key":"2025082709043855000_14.3.e240317.9","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajem.2015.07.075","article-title":"Sternal fractures and delayed cardiac tamponade due to a severe blunt chest trauma","volume":"34","author":"Liang","year":"2016","journal-title":"Am J Emerg Med"},{"key":"2025082709043855000_14.3.e240317.10","doi-asserted-by":"crossref","first-page":"100340","DOI":"10.1016\/j.tcr.2020.100340","article-title":"Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation","volume":"29","author":"Mohamed","year":"2020","journal-title":"Trauma Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:04:45Z","timestamp":1756310685000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,10]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-240317"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240317","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}