Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion

The diagnosis of pericardial effusion may be elusive, and only diagnosed with echocardiography. Case reports: Here we report the cases of two patients who presented to the emergency centre (EC) with dyspnoea, and their chest X-rays (CXR) revealed the “water bottle sign”, which is the typical appeara...

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Main Authors: James Foley, Lai Pun Tong, Navin Ramphul
Format: Article
Language:English
Published: Elsevier 2016-09-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X16300520
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author James Foley
Lai Pun Tong
Navin Ramphul
author_facet James Foley
Lai Pun Tong
Navin Ramphul
author_sort James Foley
collection DOAJ
description The diagnosis of pericardial effusion may be elusive, and only diagnosed with echocardiography. Case reports: Here we report the cases of two patients who presented to the emergency centre (EC) with dyspnoea, and their chest X-rays (CXR) revealed the “water bottle sign”, which is the typical appearance of the cardiac silhouette that is present when there is a large pericardial effusion. Discussion: This clinched the diagnosis of pericardial effusion, where the diagnosis may have otherwise been delayed. We discuss these cases, and the relevant literature and discuss the benefits of standard chest radiography in aiding in the diagnosis of pericardial effusion.
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spelling doaj.art-c04dfdc0441d49a8b45c84337851a3992022-12-21T20:31:05ZengElsevierAfrican Journal of Emergency Medicine2211-419X2016-09-016314815010.1016/j.afjem.2016.01.004Message in a bottle. The use of chest radiography for diagnosis of pericardial effusionJames FoleyLai Pun TongNavin RamphulThe diagnosis of pericardial effusion may be elusive, and only diagnosed with echocardiography. Case reports: Here we report the cases of two patients who presented to the emergency centre (EC) with dyspnoea, and their chest X-rays (CXR) revealed the “water bottle sign”, which is the typical appearance of the cardiac silhouette that is present when there is a large pericardial effusion. Discussion: This clinched the diagnosis of pericardial effusion, where the diagnosis may have otherwise been delayed. We discuss these cases, and the relevant literature and discuss the benefits of standard chest radiography in aiding in the diagnosis of pericardial effusion.http://www.sciencedirect.com/science/article/pii/S2211419X16300520Pericardial effusionWater bottle signChest X-ray
spellingShingle James Foley
Lai Pun Tong
Navin Ramphul
Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
African Journal of Emergency Medicine
Pericardial effusion
Water bottle sign
Chest X-ray
title Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
title_full Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
title_fullStr Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
title_full_unstemmed Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
title_short Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion
title_sort message in a bottle the use of chest radiography for diagnosis of pericardial effusion
topic Pericardial effusion
Water bottle sign
Chest X-ray
url http://www.sciencedirect.com/science/article/pii/S2211419X16300520
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AT navinramphul messageinabottletheuseofchestradiographyfordiagnosisofpericardialeffusion