Hemorrhagic pericardial tamponade in a peritoneal dialysis patient

Yi Hsin Chou, Ting Yu Lin, Ann Charis Tan, Fan Yu Chen, Wen Chung Yu*, Chih-Ching Lin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Uremic pericarditis and pericardial effusion are possible complications among patients with end-stage renal disease. The accumulation of toxic metabolites may contribute to the pathogenesis of uremic pericarditis. Bleeding diathesis in peritoneal dialysis patients raises the risk of hemorrhagic pericardial tamponade, which is a fatal complication of peritoneal dialysis. We report a case of hemorrhagic pericardial tamponade who was nonadherent to peritoneal dialysis with initial presentation of hypotension and syncope. Transthoracic echocardiogram revealed septated, fibrinoid pericardial effusion and right ventricular diastolic compression. A massive bloody pericardial effusion was drained when he underwent the pericardial window procedure. There was a significant improvement both in his clinical condition and in the echocardiogram images after the procedure. Hemorrhagic pericardial tamponade occurs in uremic patients but is rarely seen in those undergoing peritoneal dialysis. Early diagnosis, immediate surgical drainage, and regular follow-up with echocardiography are crucial to achieve better prognoses in future similar clinical scenarios.

Original languageAmerican English
Pages (from-to)733-735
Number of pages3
JournalJournal of the Chinese Medical Association
Issue number7
StatePublished - 1 Jul 2021


  • End-stage renal disease
  • Hemorrhagic pericardial effusion
  • Pericardial tamponade
  • Peritoneal dialysis


Dive into the research topics of 'Hemorrhagic pericardial tamponade in a peritoneal dialysis patient'. Together they form a unique fingerprint.

Cite this