Iatrogenic tension pneumopericardium in a patient with posttraumatic acute respiratory distress syndrome

Just, B.; Ledon, Sarah; Lejean, F.; Boutiere, J.-P.; Mateu, Philippe

doi:10.1016/j.annfar.2011.11.010

Cited by 1 publication

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“…Pneumopericardium is extremely rare and can be caused by physical trauma to the pericardium (e.g., nonpenetrating and penetrating thorax trauma) [17], barotrauma (e.g., mechanical ventilation) [18], acute asthma attack, coughing, Heimlich and Valsalva maneuvers, pregnancy and labor, and fistulas of the pericardium (e.g., thorax tumors, infections, and abscesses). Rarely, it may develop due to pericarditis caused by spontaneous gas-producing microorganisms, invasive procedures (e.g., thoracotomy, tracheostomy, tracheostomy closure [19], thoracentesis, pericardiocentesis [20–23], surgical pericardiotomy [24], endomyocardial biopsy [1], pacemaker insertion [25]), complications of cardiac resynchronization therapy [26], or Boerhaave syndrome (e.g., spontaneous esophageal wall perforation) [27].…”

Section: Discussionmentioning

confidence: 99%

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

Uluçam

2012

Cardiol Ther

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Pneumopericardium, an accumulation of air in the pericardial cavity, occurs very rarely as compared to pneumothorax and pneumomediastinum. Clinical presentation is variable, patients are frequently asymptomatic, and mild cases usually resolve spontaneously. However, it may lead to pericardial tamponade, which requires rapid diagnosis and treatment that can be lifesaving. The traditional diagnostic, simple method of diagnosis is via an upright chest X-ray. Typical findings can be detected and a differential diagnosis can be made between pneumomediastinum and pneumopericardium. Echocardiography and chest computed tomography scans can also support the diagnosis. Only one case of pneumopericardium after surgical pericardiotomy has been reported in the literature so far. In this case report, iatrogenic pneumopericardium, which resolved spontaneously after surgical pericardiotomy, was reported in a 19-year-old patient who had a rejected liver transplantation, and had liver and kidney failure with pericardial tamponade. In this case, pneumopericardium was accompanied by pneumoperitoneum and subcutaneous emphysema; an extremely rare combination.

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Section: Discussionmentioning

confidence: 99%

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

Uluçam

2012

Cardiol Ther

View full text Add to dashboard Cite

show abstract

Iatrogenic tension pneumopericardium in a patient with posttraumatic acute respiratory distress syndrome

Cited by 1 publication

References 4 publications

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

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