Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear

A positive Murphy’s sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy’s sign not due to acute cholecystitis, but rather from a...

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Detalles Bibliográficos
Autores principales: Sridhara, Srilekha, Lichtenwalter, Christopher, Mazdeh, Shahnaz, Yeneneh, Beeletsega T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279000/
https://www.ncbi.nlm.nih.gov/pubmed/30533336
http://dx.doi.org/10.7759/cureus.3402
Descripción
Sumario:A positive Murphy’s sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy’s sign not due to acute cholecystitis, but rather from a pericardial hematoma from a right atrial tear causing right heart failure. The patient required an atrial tear repair to prevent a cardiac tamponade.

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