Histology Course A IV 3 Department of Pathology, University of Zurich Histokurs

A IV 3 fibrinous pericarditis HE further information (German) on HiPaKu 
  ICD-10: I30.8
 
   
52-year-old female suffered from chronic renal failure with scarring and contraction of kidneys due to chronic pyelonephritis (specimen from autopsy).
 
Visceral pericardium (epicardium) covered by fibrinous exudate which is in part absorbed, in part undergoing organization.
 
Complication: Organization might lead to dense fibrotic scars with obliteration of the pericardial space.

Etiology and pathogenesis:
- Acute myocardial infarction
- Uremia (chronic kidney failure)
- Rheumatic fever
- Collagen vascular disease
- Infectious (tuberculosis and other bacteria, viral, fungal)
- Sepsis
- Neoplasia (primary tumors or tumors metastatic to the pericardium). Malignancy frequently associated with serosanginous effusions.