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25/F Biopsy after car accident
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JDGreystone posted:
JDGreystone posted: I was in a car accident and after reoccurent plueral and percardial effussions I had a Percardial Window put in. After getting my records back I saw this biopsy from that procedure and I have no clue if it means anything. The procedure was done two weeks after Chest Trauma.

Pericardium Segment Biopsy:

Mesothelial lined Fibroconnective tissue and accompanying fibrin showing chronic inflamation, granulation tissue and mesothelial hyperplasia; no evidence of maligancy.

I have not felt well since the accident 4 months ago but my blood work is normal and EKG's are normal. I cant find an explanation of why I still feel nauseas, tired, and bloated.
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Robert A Harrington, MD responded:
Dear JD Greystone-

You pose an interesting question as to what to make of this percardial biopsy reading. Much of this interpretation is what we see with chronic, nonspecific inflammation of the pericardium. Lots of things can cause this including viral infections. These can also be associated with pericardial effusions (as you experienced). Or, these type of inflammatory reactions can also be seen after chest trauma as can be experienced in a car accident. Bottomline is that many things can cause a pericardial effusion, even recurrent ones. I'm bothered by your continued symptoms of nausea and fatigue. It's worth mentioning to your MD and asking if infectious and inflammatory causes of pericardial effusion have been evaluated as some of these can also cause the kind of symptoms that you are experiencing.

Good luck with this

Bob H


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