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March 14, 2026Cureus0 citationsOpen Access

Pericardial Effusion as an Unusual Complication of Laparoscopic Ventral Hernia Repair: A Case Report

MSMatthew J ScearboNova Southeastern UniversityYAYazan AbuawadSESydney ElnessNova Southeastern University

Key Result

Pericardial effusion developed two weeks after laparoscopic ventral hernia repair in a 65-year-old female, diagnosed as pericarditis with a moderate effusion of 12 mm noted on echocardiogram.

Key Points

  • This case report aims to explore the occurrence of pericardial effusion following a non-cardiac surgical procedure.
  • Case report of a patient with pericardial effusion after laparoscopic ventral hernia repair.
  • Assessment for infections, malignancy, autoimmune diseases, and myocardial injury.
  • Discussion of potential causes and treatment options for postoperative pericardial effusion.
  • Patient developed pericardial effusion two weeks post-surgery.
  • No infections, malignancy, autoimmune conditions, or myocardial injuries were detected.
  • Identified unusual complications related to non-cardiac surgery.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
65-year-old woman with a history of anemia, anxiety, asthma, diabetes, hypertension, and breast cancer treated with lumpectomy and radiation in 1998, presenting with pleuritic chest pain two weeks after laparoscopic repair of an incarcerated upper midline ventral hernia.
I
Intervention
Laparoscopic repair of an incarcerated upper midline ventral hernia
O
Outcome
Development of acute pericarditis and pericardial effusion

Acute pericarditis and pericardial effusion can be a rare complication of laparoscopic ventral hernia repair, potentially driven by systemic inflammation.

Limitations

  • Single case report limits generalizability.
  • Lack of comparative data to other interventions.

Abstract

Pericarditis is a well-recognized complication of cardiac surgery and myocardial injury; however, it is rarely reported following non-cardiac procedures. The mechanisms underlying postoperative pericardial inflammation in such cases remain poorly defined. This case report is about a patient who developed a pericardial effusion two weeks after repair of a ventral hernia in the midline with a laparoscopic technique. No evidence of infection, malignancy, autoimmune disease, or myocardial injury was found. This case report discusses the possible etiologies, pathophysiologic mechanisms, and treatment of pericardial effusion after non-cardiac surgery.

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Cite This Study

Scearbo et al. (2026) conducted a case report in Pericardial effusion (n=1). colchicine vs. ibuprofen 600 mg TID was evaluated on Diagnosis of pericarditis due to significant pericardial effusion and pleuritic chest pain. Pericardial effusion developed two weeks after laparoscopic ventral hernia repair in a 65-year-old female, diagnosed as pericarditis with a moderate effusion of 12 mm noted on echocardiogram.

synapsesocial.com/papers/69b4fc59b39f7826a300d2afhttps://doi.org/10.7759/cureus.105093
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Also Consider

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  1. 1Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: Case report and literature review2011 · 32 citations
  2. 2Postoperative systemic inflammatory dysregulation and corticosteroids: a narrative review2022 · 125 citations
  3. 3Recurrent Pericardial Effusion following Diaphragmatic Hernia Repair2022 · 2 citations
  4. 4Pericardial effusion post antero-hernia repair using mesh and tacker: case report2020 · 1 citations
  5. 5Pericardial tamponade after laparoscopic repair of a giant diaphragmatic hernia2024 · 1 citations