Ventricular tachycardia and chest pain due to foreign body in the pericardium caused by self-injurious behaviour

Hidenori Yamamoto; Yoshie Fukasawa; Taichi Kato

doi:10.1017/S1047951119001744

Ventricular tachycardia and chest pain due to foreign body in the pericardium caused by self-injurious behaviour

Cardiol Young. 2019 Sep;29(9):1217-1218. doi: 10.1017/S1047951119001744. Epub 2019 Aug 5.

Authors

Hidenori Yamamoto¹, Yoshie Fukasawa¹, Taichi Kato¹

Affiliation

¹ Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.

PMID: 31378212
DOI: 10.1017/S1047951119001744

Abstract

A 14-year-old girl suddenly developed ventricular tachycardia and severe chest pain during hospitalisation for trauma surgery. CT revealed a needle in the pericardium. Careful interview elicited that she had inserted the needle by herself, and Munchausen syndrome was diagnosed. This is the first report of ventricular tachycardia caused by a foreign body in a patient with Munchausen syndrome.

Keywords: Munchausen syndrome; Ventricular tachycardia; self-injurious behaviour.

Publication types

Case Reports

MeSH terms

Adolescent
Cardiac Surgical Procedures / methods
Chest Pain / diagnosis
Chest Pain / etiology*
Electrocardiography
Female
Foreign Bodies / complications*
Foreign Bodies / diagnosis
Foreign Bodies / surgery
Heart Injuries / complications*
Heart Injuries / diagnosis
Heart Injuries / surgery
Humans
Pericardium / diagnostic imaging
Pericardium / injuries*
Pericardium / surgery
Self-Injurious Behavior / complications*
Tachycardia, Ventricular / diagnosis
Tachycardia, Ventricular / etiology*
Tomography, X-Ray Computed
Wounds, Penetrating / complications*
Wounds, Penetrating / diagnosis
Wounds, Penetrating / surgery