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Safety-pin Induced Hemopericardium and Cardiac Tamponade in an Infant

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Abstract

Background

Safety-pin ingestion causing cardiovascular complications are very rare with high risk for mortality.

Case characteristics

A 10-month-old child who presented with persistent irritability and intermittent fever of 1 month duration. The child had tachypnea and mild subcostal retractions.

Observation

Investigations revealed open safety-pin in lower esophagus, and pericardial effusion that later progressed to cardiac tamponade during handling of the safety pin by endoscope.

Message

It may be safer to drain pericardial collection before handling sharp foreign bodies in lower end of esophagus as it can worsen cardiac complications.

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Authors and Affiliations

  1. Department of Pediatrics, SAT Hospital, Government Medical College Thiruvananthapuram, Thiruvananthapuram, India

    Sheeja Sugunan, A. S. Ajith Krishnan, V. K. Devakumar & A. K. Arif

Authors
  1. Sheeja Sugunan
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  2. A. S. Ajith Krishnan
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  3. V. K. Devakumar
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  4. A. K. Arif
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Correspondence to Sheeja Sugunan.

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Sugunan, S., Krishnan, A.S.A., Devakumar, V.K. et al. Safety-pin Induced Hemopericardium and Cardiac Tamponade in an Infant. Indian Pediatr 55, 521–522 (2018). https://doi.org/10.1007/s13312-018-1345-x

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  • DOI: https://doi.org/10.1007/s13312-018-1345-x

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