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There have been rare documented instances where blunt-force trauma has been suspected to cause a delayed disease process that manifests days or weeks after the initial injury. This is a case report of a 30-year-old male who suffered blunt chest trauma during a motor vehicle accident. On hospital day five the patient began to complain of significant chest pain, an increase in pain with each heartbeat, increased pain when sitting up, shortness of breath and experienced a syncopal episode in the shower. His EKG was suggestive of pericarditis and the etiology was suspected to be secondary to acute chest trauma. The patient was started on conservative management and his symptoms resolved prior to discharge. At one year follow up there was no recurrence of symptoms. This case represents a rare case of delayed-onset post-traumatic pericarditis, and is additionally unique in that took place in the absence of pericardial effusion, setting it apart from previously documented cases. This report contains a brief literature review of previously documented causes of delay-onset pericarditis, a description of the patient’s hospital course and discussion of treatment choices and clinical reasoning.

Delayed-Onset Pericarditis in Non-penetrating Blunt Force Trauma: A Case Report