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Foley J, Tong LP, Ramphul N. Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion. Afr J Emerg Med. 2016;6(3):148-150doi: 10.1016/j.afjem.2016.01.004.
Foley, J., Tong, L. P., & Ramphul, N. (2016). Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion. African journal of emergency medicine : Revue africaine de la medecine d'urgence, 6(3), 148-150. https://doi.org/10.1016/j.afjem.2016.01.004
Foley, James, et al. "Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion." African journal of emergency medicine : Revue africaine de la medecine d'urgence vol. 6,3 (2016): 148-150. doi: https://doi.org/10.1016/j.afjem.2016.01.004
Foley J, Tong LP, Ramphul N. Message in a bottle. The use of chest radiography for diagnosis of pericardial effusion. Afr J Emerg Med. 2016 Sep;6(3):148-150. doi: 10.1016/j.afjem.2016.01.004. Epub 2016 Jun 29. PMID: 30456082; PMCID: PMC6234166.
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Afr J Emerg Med. 2016 Sep;6(3):148-150. doi: 10.1016/j.afjem.2016.01.004. Epub 2016 Jun 29.

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

African journal of emergency medicine : Revue africaine de la medecine d'urgence

James Foley, Lai Pun Tong, Navin Ramphul

Affiliations

  1. Department of Emergency Medicine, St. Vincent's University Hospital, Dublin 4, Ireland.

PMID: 30456082 PMCID: PMC6234166 DOI: 10.1016/j.afjem.2016.01.004

Abstract

INTRODUCTION: 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.

Keywords: Chest X-ray; Pericardial effusion; Water bottle sign

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