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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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
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author Sridhara, Srilekha
Lichtenwalter, Christopher
Mazdeh, Shahnaz
Yeneneh, Beeletsega T
author_facet Sridhara, Srilekha
Lichtenwalter, Christopher
Mazdeh, Shahnaz
Yeneneh, Beeletsega T
author_sort Sridhara, Srilekha
collection PubMed
description 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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spelling pubmed-62790002018-12-07 Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear Sridhara, Srilekha Lichtenwalter, Christopher Mazdeh, Shahnaz Yeneneh, Beeletsega T Cureus Cardiac/Thoracic/Vascular Surgery 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. Cureus 2018-10-02 /pmc/articles/PMC6279000/ /pubmed/30533336 http://dx.doi.org/10.7759/cureus.3402 Text en Copyright © 2018, Sridhara et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Sridhara, Srilekha
Lichtenwalter, Christopher
Mazdeh, Shahnaz
Yeneneh, Beeletsega T
Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title_full Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title_fullStr Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title_full_unstemmed Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title_short Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear
title_sort positive murphy’s sign in pericardial hematoma from a right atrial tear
topic Cardiac/Thoracic/Vascular Surgery
url 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
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AT yenenehbeeletsegat positivemurphyssigninpericardialhematomafromarightatrialtear

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