Pneumopericardium without subcutaneous emphysema, pneumomediastinum, or pneumothorax after laparoscopy

Barba, Miguel Ángel Elvira; Saez, Lourdes; García-Molinero, M. Jesus; Aguilera, Manuel Barrios

doi:10.1016/s0016-5107(93)70248-5

Cited by 13 publications

(4 citation statements)

References 5 publications

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“…1,3,4,[15][16][17][18][19] Congenital pathways are a potential cause of pneumopericardium during laparoscopy. [20][21][22][23][24] In utero, the pleuroperitoneal membranes, together with the central tendon of the diaphragm, separate the pleural, pericardial and peritoneal cavities. Should incomplete closure of these membranes occur in utero, a gap between cavities would exist and peritoneal or pleural gas could enter the pericardial sac.…”

Section: Discussionmentioning

confidence: 99%

Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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Pneumopericardium, and especially tension pneumopericardium, are relatively rare consequences of penetrating, blunt or iatrogenic injury. Despite its rarity and the compressibility of air, pneumopericardium can result in life threatening cardiac tamponade. We present two recent cases of this rare condition with divergent aetiologies from which lessons can be learned. The pathophysiology, diagnosis and treatment of pneumopericardium are reviewed.

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Section: Discussionmentioning

confidence: 99%

Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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“…Furthermore, reports after other laparoscopic urological surgery have all been incidental findings [1], and this is the first symptomatic posturo-laparoscopic pneumopericardium we are aware of. However there is one report that described abdominal pain as the initial symptom, which led to the diagnosis of pneumopericardium without other complications of post-laparoscopic liver biopsy [2]. One review reported only 0.8% chances of developing this complication after a laparoscopic urological procedure.…”

Section: Discussionmentioning

confidence: 99%

Pneumopericardium: A rare complication of laparoscopic varicocoele ligation

2006

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Although symptomatic pneumopericardium post-laparoscopic varicocoele ligation procedure is rare, numerous cases have been reported and identified pneumopericardium as a complication of laparoscopic surgery. Pneumopericardium after other urological procedures has been previously reported when diagnosed incidentally on chest X-ray but there are no reports of symptomatic presentation. We hereby present the first symptomatic pneumopericardium case after a routine procedure for the ligation of varicocoele.

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“…Most cases were asymptomatic and were diagnosed incidentally at radiography. Some patients reported abdominal pain as the initial symptom, which led to the diagnosis [3].…”

Section: The Most Common Etiology Of Pneumopericardiummentioning

confidence: 99%

Respiratory Distress after a Liver Surgery, Think at Pneumopericardium

Smiti

Oussama

Othman

et al. 2020

Asp Biomed Clin Case Rep

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Introduction: Pneumopericardium is defined as a collection of air or gas in the pericardium, and considered a rare and innocuous condition. It may progress to tension and cardiac tamponade and may become life-threatening in many instances. In this publication, we will share the case of a pneumopericardium which occurred for middle-aged women treated for liver carcinoma after a laparotomic surgery. Discussion: Pneumopericardium was once defined as a collection of air or gas in the pericardium, and considered a rare and innocuous condition. The most common etiology of pneumopericardium is blunt trauma. Also, air may dissect into the mediastinum from the retroperitoneal space following the perforation of a hollow viscous or infection with gas-producing organisms. Other causes of pneumopericardium include iatrogenic complications during chest or abdominal surgeries. Diagnosis of spontaneous pneumopericardium can often be made with a formal two-view Chest X-Ray or CT scan. The treatment of air in the pericardial space depends on the type of pneumopericardium present and whether or not there is associated cardiac tamponade. However, tension pneumopericardium can be effectively relieved by pericardiocentesis or tube decompression and the underlying cause subsequently determined. Conclusion: In conclusion, surgeons should be aware of the possibility of pneumopericardium for patients with chest pain after a laparoscopic procedure and look for electrocardiographic abnormalities. It is important to outline the important role of the chest CT scan to search for pneumothorax or pneumomediastinum.

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Pneumopericardium without subcutaneous emphysema, pneumomediastinum, or pneumothorax after laparoscopy

Cited by 13 publications

References 5 publications

Pneumopericardium:two case reports and a review

Pneumopericardium:two case reports and a review

Pneumopericardium: A rare complication of laparoscopic varicocoele ligation

Respiratory Distress after a Liver Surgery, Think at Pneumopericardium

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