Pericardiectomy can lead to good recovery in rare cases of severe constrictive pericarditis caused by self-mutilation with sewing needles.
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May support pericardiectomy in rare needle-induced constrictive pericarditis; single case leaves generalizability open.
A 34 year old woman with a history of self-mutilation developed severe constrictive pericarditis with sterile, calcified intrapericardial abscess cavities as a result of inserting sewing needles into her chest seven years previously. After pericardiectomy she made a good recovery.
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Keogh et al. (1988) studied this question.
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