STRANGE CARDIAC COMPLICATION AFTER MEDIAN EVENTRATION SURGERY
Abstract
A 51-year old patient comes to the hospital complaining of 20-30 bowel movements every day and
abdominal pain following the introduction of a new medication for his cardiological problems
(notable aspirin). His relevant medical history shows antecedents of hemorrhagic recto-colitis,
non-stented coronaropathy, and a colectomy performed more than 10 years before. The diagnosis
was simple to make following laboratory, imagistic and clinical investigations – pouchitis and
median eventrations following the prior surgery. The real problem appeared the next day following
his eventration cure – cardiac tamponade in the context of antiplatelet medication. The patient was
successfully managed by the cardiothoracic surgeons. An intracardiac foreign body was found and
eliminated during the intervention. Taking into consideration the fact that the patient had been
taking antiplatelet medication for almost a month, it is very likely that the foreign body had
migrated there during or after the corrective surgical procedure for the eventration and created the
hemopericardium in this particular context.