Hemopericardium

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	Hemopericardium;
	Hemopericardium: Gross, an excellent in situ view. ; Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
ICD-10	I23.0, I31.2, S26.0
ICD-9	423.0, 860.2

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Hemopericardium refers to blood in the pericardial sac of the heart. It is a cause of pericardial effusion, and can also cause cardiac tamponade.^[1]

The condition can be caused by trauma,^[2] but it has also been observed in patients on anticoagulant therapy.^[3]^[4]

Pathological Findings

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Hemopericardium: Gross, an excellent in situ view
Hemopericardium: Gross, in situ, unopened pericardium (a very good example)
Hemopericardium: Gross, natural color, heart in situ with opened pericardium and filled with red blood clot (quite good example) dissecting aneurysm

Hemopericardium due to Needle Puncture: Gross, natural color, external view of heart covered by blood
Needle Puncture Mark in Epicardium: Gross, natural color, close-up of needle puncture marks tap resulted in hemopericardium
Hemopericardium: Hemopericardium caused by pericardiocentesis: Gross, natural color, close-up view of apex of the heart. Needle apparently entered the distal posterior descending artery.

Hemopericardium: Hemopericardium caused by pericardiocentesis: Gross, natural color, view of apex of the heart. Needle apparently entered the distal posterior descending artery
Hemopericardium: Hemopericardium due to pericardiocentesis: Gross, fixed tissue, close-up view of slice through distal posterior descending artery showing periarterial hemorrhage
Hemopericardium: Liver: Gross, natural color, typical shock liver case of death due to hemopericardium secondary to pericardiocentesis

Hemopericardium in newborn: Gross, natural color, opened body with large collection blood in pericardial sac. Cause uncertain. A 26 week premature with hyaline membrane disease and DIC
Hemopericardium: Myocardial Infarction and Ventricular Rupture

Hemopericardium: Infarct rupture after 7 days of chest pain onset.
Hemopericardium in dissecting aneurysm: Gross, heart with root of aorta to show hemorrhage into pericardium (very good example)

References

↑ "Forensic Pathology".
↑ Krejci CS, Blackmore CC, Nathens A (2000). "Hemopericardium: an emergent finding in a case of blunt cardiac injury". AJR Am J Roentgenol. 175 (1): 250. PMID 10882282. Unknown parameter |month= ignored (help)
↑ Katis PG (2005). "Atraumatic hemopericardium in a patient receiving warfarin therapy for a pulmonary embolus". CJEM. 7 (3): 168–70. PMID 17355673. Unknown parameter |month= ignored (help)
↑ Hong YC, Chen YG, Hsiao CT, Kuan JT, Chiu TF, Chen JC (2007). "Cardiac tamponade secondary to haemopericardium in a patient on warfarin". Emerg Med J. 24 (9): 679–80. doi:10.1136/emj.2007.049643. PMID 17711963. Unknown parameter |month= ignored (help)

Template:Heart diseases Template:Injuries, other than fractures, dislocations, sprains and strains Template:Hemodynamics Template:SIB

Template:WH Template:WS

[urlForensic_Pathology-1] "Forensic Pathology".

[pmid10882282-2] Krejci CS, Blackmore CC, Nathens A (2000). "Hemopericardium: an emergent finding in a case of blunt cardiac injury". AJR Am J Roentgenol. 175 (1): 250. PMID 10882282. Unknown parameter |month= ignored (help)

[pmid17355673-3] Katis PG (2005). "Atraumatic hemopericardium in a patient receiving warfarin therapy for a pulmonary embolus". CJEM. 7 (3): 168–70. PMID 17355673. Unknown parameter |month= ignored (help)

[pmid17711963-4] Hong YC, Chen YG, Hsiao CT, Kuan JT, Chiu TF, Chen JC (2007). "Cardiac tamponade secondary to haemopericardium in a patient on warfarin". Emerg Med J. 24 (9): 679–80. doi:10.1136/emj.2007.049643. PMID 17711963. Unknown parameter |month= ignored (help)

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Hemopericardium
Hemopericardium: Gross, an excellent in situ view. Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
ICD-10	I23.0, I31.2, S26.0
ICD-9	423.0, 860.2

Hemopericardium

Pathological Findings

References

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