Simultaneous spontaneous pneumomediastinum and pneumopericardium in a critically ill patient with COVID-19

Behzadnia, Mohammad Javad; Samim, Abbas; Saboori, Fatemeh; Asadi, Mosa; Javanbakht, Mohammad

doi:10.1016/j.radcr.2021.07.062

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…In reviewing the literature, the complications of COVID-19 disease including PM and PP have been reported [2][3][4][5][6][7][8][9][10][11]. Additional reports of these complications have been noted to occur in patients before receiving positive pressure ventilation or mechanical ventilation [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…In individuals with COVID-19 disease, the inflammation and damage to the alveolar walls cause air to dissect into the mediastinum, pericardium, pleural spaces, and subcutaneous tissue, which is also referred to as the alveolar air leak syndrome. Case reports have described these phenomena in patients without prior positive pressure ventilation or mechanical ventilation [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Air in the Wrong Place at the Wrong Time: A Case of Pneumomediastinum and Pneumopericardium in the Setting of COVID-19 Disease

Patel¹,

Kelschenbach²

2022

Cureus

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Infection with SARS-CoV-2, commonly referred to as COVID-19 disease, has been noted to involve a systemic inflammatory reaction affecting multiple organ systems. Patients present with a spectrum of symptoms from mild to severe respiratory distress requiring supplemental oxygen and, at times, intubation and mechanical intubation. Pulmonary involvement causes diffuse alveolar wall damage leading to destruction and collapse of the alveolar walls causing air leakage and introduction of the air into the mediastinum, pericardium, and interstitial spaces. We present a case of a 71-year-old patient who presented with respiratory distress requiring supplemental oxygen with subsequent rapid decline and decompensation requiring intubation and mechanical ventilation who was found to have pneumomediastinum and pneumopericardium.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Air in the Wrong Place at the Wrong Time: A Case of Pneumomediastinum and Pneumopericardium in the Setting of COVID-19 Disease

Patel¹,

Kelschenbach²

2022

Cureus

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“…Nonetheless, close monitoring is always recommended due to the possibility of serious circulatory and respiratory complications [20]. Behzadnia et al [15] reported a case of concurrent PM and PP that required ICU admission. Despite the unfavorable progression, they successfully managed their patient with conservative measures only.…”

Section: Imaging Modalitiesmentioning

confidence: 99%

Pneumomediastinum and Pneumopericardium as Uncommon Complications of COVID-19 Infection: A Review Article

Alsulaihebi¹,

Almaghrabi²,

Alqarni³

et al. 2022

Cureus

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There is an emerging body of literature describing an increasing incidence of pneumomediastinum and, to a lesser extent, pneumopericardium as a complication of COVID-19. However, the literature lacks information regarding patients' characteristics and a general view of this unusual condition. The purpose of this paper is to summarize the current literature on this phenomenon. In this study, we summarize the risk factors/etiology, imaging modalities, management, and prognosis of known cases in the literature. In total, 48 articles were included in the study, ranging from case reports to case series. Most patients were male (83.3%). The overall mortality rate was 27.1% and the recovery rate was 62.5%.

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Simultaneous spontaneous pneumomediastinum and pneumopericardium in a critically ill patient with COVID-19

Cited by 2 publications

References 15 publications

Air in the Wrong Place at the Wrong Time: A Case of Pneumomediastinum and Pneumopericardium in the Setting of COVID-19 Disease

Air in the Wrong Place at the Wrong Time: A Case of Pneumomediastinum and Pneumopericardium in the Setting of COVID-19 Disease

Pneumomediastinum and Pneumopericardium as Uncommon Complications of COVID-19 Infection: A Review Article

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