What Is Your Diagnosis?

Orlando, Jillian M.

doi:10.2460/javma.235.10.1145

Cited by 6 publications

(7 citation statements)

References 3 publications

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“…23 The respiratory clinical signs can be correlated with diseases that coexist, including pneumothorax, pneumomediastinum and peritoneopericardial diaphragmatic hernia. 1,4,8 It is considered that in our case, the development of pneumopericardium was slow because the dog was referred to our clinic 1 week after the trauma with no respiratory signs, and pneumopericardium was an incidental finding during the radiographic examination.…”

Section: Learning Points/take-home Messagesmentioning

confidence: 80%

“…In veterinary literature, only three cases of pneumopericardium secondary to trauma have been reported, associated with pneumomediastinum, pneumothorax and pulmonary alveolar disease (consistent with pulmonary contusions), respectively. 4,8,17 In these reports, pathogenetic mechanism for pneumopericardium was attributed to increased intra-alveolar pressure, resulting in alveolar rupture and pneumomediastinum, leading to air moving to the pericardial sac through the pericardial reflection of the pulmonary…”

Section: Discussionmentioning

confidence: 99%

“…14,16,23 Pericardiocentesis is performed when the patient has signs of respiratory distress or cardiac tamponade or when a large amount of air exists in the pericardial sac. 1,[6][7][8]23 Surgical intervention is not suggested unless a concurrent disease exists. In our case, pneumopericardium was self-limiting and pericardiocentesis was not performed, as there was no sign of cardiac tamponade.…”

Section: Learning Points/take-home Messagesmentioning

confidence: 99%

“…[1][2][3] The conditions that can cause pneumopericardium can be either traumatic or non-traumatic both in animals and humans. [1][2][3][4] In veterinary literature, pneumopericardium has been reported as a result of peritoneopericardial diaphragmatic hernia, [5][6][7] thoracic trauma, 4,8 tracheal rupture after intubation, 9,10 laparoscopic ovariectomy, 3 pulmonary-pericardial communication, 11 septic pericarditis due to oesophageal foreign body, 12 bronchopulmonary disease, 1 lung neoplasia 2 and alveolar rupture as a result of increased positive pressure in the anaesthetic circuit. 13 Pneumopericardium has also been reported in a rabbit and a horse.…”

Section: Introductionmentioning

confidence: 99%

“…4,16 Pneumopericardium after blunt chest trauma is a condition rarely reported in small animals. 8 The aim of the present study is to describe the clinical signs, radiographic findings and the outcome in a dog with traumatic pneumopericardium caused by a fall from height.…”

Section: Introductionmentioning

confidence: 99%

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Pneumopericardium associated with blunt trauma in a dog

Angelou

Papazoglou

Thomas

et al. 2023

Vet Record Case Reports

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Pneumopericardium due to blunt trauma in the thorax is rarely described in veterinary literature. The pathogenetic mechanism of pneumopericardium is not always clear. In the present case, a 15‐year‐old dog was referred by the local veterinarian due to walking disability after a fall from height of 2 m. The dog was paralysed in pelvic limbs with increased spinal reflexes, compatible with thoracolumbar syndrome. Plain radiographs of the thorax revealed pneumopericardium. The dog was monitored during hospitalisation for signs of respiratory distress. It remained asymptomatic, so pericardiocentesis was not performed. Computed tomography or magnetic resonance imaging was recommended for diagnosis of the thoracolumbar syndrome, but owners declined for financial reasons. The dog was discharged 10 days after admission. The last day of hospitalisation thoracic radiographs revealed resorption of pneumopericardium. In conclusion, the aim of this study was to describe a case of incidentally found pneumopericardium that is rarely reported after a blunt trauma.

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Section: Learning Points/take-home Messagesmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Learning Points/take-home Messagesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pneumopericardium associated with blunt trauma in a dog

Angelou

Papazoglou

Thomas

et al. 2023

Vet Record Case Reports

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Pneumopericardium with concomitant pericardial effusion following peritoneopericardial diaphragmatic hernia repair in a dog

Lohinger

Gumpenberger

Kolm

et al. 2022

Vet Record Case Reports

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Peritoneopericardial diaphragmatic hernia (PPDH) is a congenital defect allowing communication between the peritoneal cavity and the pericardial sac, through which abdominal organs may herniate into the pericardial space. The condition can be asymptomatic or symptomatic, and if symptomatic, accompanied mostly with non‐specific gastrointestinal or respiratory clinical signs. A 2‐year‐old, male, neutered mixed breed dog was referred due to fever, lethargy and decreased food intake over the last 2 weeks. Abdominal ultrasound was performed and a transposition of abdominal organs into the thoracic cavity was suspected. Further diagnostic imaging confirmed PPDH with herniation of the gall bladder and spleen into the pericardial sac. The dog underwent surgery for hernia repair. Severe pneumopericardium subsequently complicated by pericardial effusion developed postoperatively. Both complications resolved without intervention. The dog never showed signs of haemodynamic instability or cardiac tamponade.

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