{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:07:02Z","timestamp":1756339622321,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,29]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>A 7-year-old boy was presented with significant chest pain, reduced consciousness with haemodynamic instability following a minor blunt trauma to the chest. He was diagnosed to have a life-threatening pericardial effusion in FAST (Focused Assessment with Sonography for Trauma scan) ultrasound examination which was confirmed as haemopericardium causing cardiac tamponade in 2D echocardiogram. Emergency cardiac catheterisation ruled out active bleeding and prompt pericardiocentesis under fluoroscopy guidance rapidly restored patients\u2019 haemodynamic parameters. He was successfully discharged without complications after a few days. This case report highlights uncommon presentation of cardiac tamponade without major cardiac injury after a minor blunt trauma in a paediatric patient which was detected early and successfully managed without complications.<\/jats:p>","DOI":"10.1136\/bcr-2021-247761","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T13:01:17Z","timestamp":1649768477000},"page":"e247761","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Successful management of life-threatening cardiac tamponade by pericardial aspiration in a boy following blunt trauma to the chest"],"prefix":"10.1136","volume":"15","author":[{"given":"Iruthayanathan Reginald","family":"Ragunathan","sequence":"first","affiliation":[{"name":"Department of Cardiology, Teaching Hospital Karapitiya, Galle, Southern Province, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charitha","family":"Munasinghe","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Teaching Hospital Karapitiya, Galle, Southern Province, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3364-6257","authenticated-orcid":false,"given":"Chathuranga Lakmal","family":"Fonseka","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, Oxfordshire, UK"},{"name":"Department of Clinical Medicine, Faculty of Medicine, University of Ruhuna, Galle, Southern Province, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"2025082712384988000_15.4.e247761.1","first-page":"1251","article-title":"Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade","volume":"15","author":"Salem","year":"1999","journal-title":"Can J Cardiol"},{"key":"2025082712384988000_15.4.e247761.2","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1111\/j.1742-6723.2005.00782.x","article-title":"Definitive management of acute cardiac tamponade secondary to blunt trauma","volume":"17","author":"Fitzgerald","year":"2005","journal-title":"Emerg Med Australas"},{"key":"2025082712384988000_15.4.e247761.3","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1097\/PEC.0000000000000878","article-title":"Occult pericardial tamponade presenting with altered mental status","volume":"34","author":"Arciniegas Rodriguez","year":"2018","journal-title":"Pediatr Emerg Care"},{"key":"2025082712384988000_15.4.e247761.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2011.07.012"},{"key":"2025082712384988000_15.4.e247761.5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s00392-014-0661-y","article-title":"Pre-Hospital ultrasound detects pericardial tamponade in young patients with occult blunt trauma: time for preparation? 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