Iatrogenic right ventricular laceration - Delayed presentation after abdominal surgery

A 69-year-old man presented at our emergency department in marginal hemodyn amic condition due to hemorrhagic shock and cardiac tamponade. Two months e arlier, he had undergone total gastrectomy and left lobe hepatectomy for in vasive gastric cancer. Delayed iatrogenic laceration of the right ventricle , consequent to the abdominal procedure, was the uncommon cause of the mass ive hemopericardium. To our knowledge, this is only the 2nd case in the lit erature of a cardiac laceration after abdominal surgery.