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Sridhara S, Lichtenwalter C, Mazdeh S, et al. Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear. Cureus. 2018;10(10):e3402doi: 10.7759/cureus.3402.
Sridhara, S., Lichtenwalter, C., Mazdeh, S., & Yeneneh, B. T. (2018). Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear. Cureus, 10(10), e3402. https://doi.org/10.7759/cureus.3402
Sridhara, Srilekha, et al. "Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear." Cureus vol. 10,10 (2018): e3402. doi: https://doi.org/10.7759/cureus.3402
Sridhara S, Lichtenwalter C, Mazdeh S, Yeneneh BT. Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear. Cureus. 2018 Oct 02;10(10):e3402. doi: 10.7759/cureus.3402. PMID: 30533336; PMCID: PMC6279000.
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Cureus. 2018 Oct 02;10(10):e3402. doi: 10.7759/cureus.3402.

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

Cureus

Srilekha Sridhara, Christopher Lichtenwalter, Shahnaz Mazdeh, Beeletsega T Yeneneh

Affiliations

  1. Internal Medicine, Banner Baywood Medical Center, Mesa, USA.
  2. Cardiology, Banner Heart Hospital, Mesa, USA.
  3. Internal Medicine, Banner Heart Hospital, Chandler, USA.
  4. Cardiology, Maricopa Integrated Health System, Phoenix, USA.

PMID: 30533336 PMCID: PMC6279000 DOI: 10.7759/cureus.3402

Abstract

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.

Keywords: atrial tear; cardiac failure; murphy's sign; pericardial hematoma

Conflict of interest statement

The authors have declared that no competing interests exist.

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