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Kawanami Y, Kawahara H, Endo A, Yoshitomi H, Tanabe K. Pneumopericardium Resulting After Pericardiocentesis. Circ Rep 2023; 5:164-165. [PMID: 37025941 PMCID: PMC10072893 DOI: 10.1253/circrep.cr-22-0061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 02/12/2023] [Accepted: 02/22/2023] [Indexed: 04/08/2023] Open
Affiliation(s)
- Yuka Kawanami
- Division of Cardiology, Shimane University Faculty of Medicine Izumo Japan
| | - Hiroshi Kawahara
- Division of Cardiology, Shimane University Faculty of Medicine Izumo Japan
| | - Akihiro Endo
- Division of Cardiology, Shimane University Faculty of Medicine Izumo Japan
| | - Hiroyuki Yoshitomi
- Clinical Laboratory Division, Shimane University Faculty of Medicine Izumo Japan
| | - Kazuaki Tanabe
- Division of Cardiology, Shimane University Faculty of Medicine Izumo Japan
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Pneumopericardium due to blunt trauma. JOURNAL OF SURGERY AND MEDICINE 2022. [DOI: 10.28982/josam.889718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Palma A, Henriques C, Silva PV, Pires A. Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis. BMJ Case Rep 2020; 13:e236308. [PMID: 33148574 PMCID: PMC7640467 DOI: 10.1136/bcr-2020-236308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2020] [Indexed: 11/03/2022] Open
Abstract
Pneumopericardium is a rare complication of pericardiocentesis (PC), occurring as a result of either a direct pleuropericardial communication or a leaky drainage system. Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension pneumopericardium, which requires immediate recognition and management. PC has been associated with pneumothorax, pneumomediastinum or subcutaneous emphysema, but the association with pleural effusion has been less reported. The authors present the case of a 14-year-old healthy boy who developed post-PC pneumopericardium and pleural effusion, a rare association reported in the literature. The diagnosis of this potential life-threatening event was made using readily available complementary diagnostic methods, such as transthoracic echocardiography and chest X-ray.
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Affiliation(s)
- Andreia Palma
- Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
| | - Claudio Henriques
- Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
| | - Patrícia Vaz Silva
- Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
| | - António Pires
- Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
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Pandey AK, Singh SK, Devenraj V, Kumar S, Singh V. Pneumopericardium: a rare complication following pericardiocentesis. Indian J Thorac Cardiovasc Surg 2019; 35:493-495. [PMID: 33061035 DOI: 10.1007/s12055-018-00785-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Revised: 12/13/2018] [Accepted: 12/19/2018] [Indexed: 11/29/2022] Open
Abstract
Pneumopericardium is the presence of air in the pericardial cavity. It is a rare case entity that has been reported most commonly after trauma, or spontaneously without any underlying cause in a healthy adult. Pneumopericardium following pericardiocentesis has been rarely reported in the literature. Pneumopericardium is often self-resolving and rarely requires a pericardial drain for treatment. We report a case of pneumopericardium presented with tamponade physiology following pericardiocentesis for tubercular pericardial effusion, requiring emergency pericardiectomy.
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Affiliation(s)
- Ajay Kumar Pandey
- Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, U.P. India
| | - Sushil Kumar Singh
- Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, U.P. India
| | - Vijayant Devenraj
- Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, U.P. India
| | - Sarvesh Kumar
- Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, U.P. India
| | - Vikas Singh
- Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, U.P. India
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Ghalem A, Berrajaa M, Ahsayan K, Aabdi M, Boutahar I, Skiker I, Housni B, Ismaili N, Ouafi NE. Gastropericardial fistula: A rare etiology of chest pain. HONG KONG J EMERG ME 2017. [DOI: 10.1177/1024907917735073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Gastropericardial fistula is an abnormal communication between the stomach and the pericardium. It is a rare, life-threatening condition that has numerous etiologies. We report the case of a 53-year-old male patient, with a history of wedge resection for gastrointestinal stromal tumor, who presented to the emergency department for epigastric and chest pain along with lethargy leading to the uncommon diagnosis of gastropericardial fistula with pneumopericardium. Through this case, we would like to draw clinicians’ attention to gastropericardial fistula as a differential diagnosis in patients presenting for epigastric and/or chest pain with a history of esophagogastric surgery, emphasizing on the key role of computed tomography in this regard, and underscore the management basics of this unusual condition.
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Affiliation(s)
- Amine Ghalem
- Department of Cardiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Mehdi Berrajaa
- Department of Cardiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Kamal Ahsayan
- Department of Cardiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Mohammed Aabdi
- Department of Anesthesia and Intensive Care, Mohammed VI University Hospital, Oujda, Morocco
| | - Imane Boutahar
- Department of Radiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Imane Skiker
- Department of Radiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Brahim Housni
- Department of Anesthesia and Intensive Care, Mohammed VI University Hospital, Oujda, Morocco
| | - Nabila Ismaili
- Department of Cardiology, Mohammed VI University Hospital, Oujda, Morocco
| | - Noha El Ouafi
- Department of Cardiology, Mohammed VI University Hospital, Oujda, Morocco
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Liao HQ, Zhou D, Shang QL, Shi YF, Zhang M. Pneumopericardium as a rare complication after esophagopericardial fistula. Echocardiography 2017; 34:779-781. [PMID: 28299808 DOI: 10.1111/echo.13514] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Pneumopericardium is a rare clinical entity which is often complicated by trauma. Pneumoperdicardium resulting after esophagopericardial fistula is much rarer. We present a case of pneumopericardium as the complication of esophagopericardial fistula in a 53-year-old man. After undergoing radiotherapy for 26 times, the patient got a fever and an unspecified thoracic pain. Echocardiography showed the rectilinear echoes in the pericardium. Chest computed tomography revealed pneumopericardium, pericardial effusion, recurrence of lung cancer, and pneumonia in right lower and left lung.
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Affiliation(s)
- Hai-Qin Liao
- Department of Ultrasound, The 2nd Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Dan Zhou
- Department of Ultrasound, The 2nd Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Quan-Liang Shang
- Department of Radiology, The 2nd Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yi-Fan Shi
- Department of Ultrasound, The 2nd Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Ming Zhang
- Department of Ultrasound, The 2nd Xiangya Hospital of Central South University, Changsha, Hunan, China
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Oliveira-Santos M, Jorge E, Leite RBL, Martins R, Calisto J, Matos V, Pego M. Acute pneumopericardium: when echocardiography is not enough. ACUTE CARDIAC CARE 2016; 18:85. [PMID: 29452003 DOI: 10.1080/17482941.2017.1363394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
| | - Elisabete Jorge
- a Cardiology A, University Hospitals of Coimbra , Coimbra , Portugal
| | | | - Rui Martins
- a Cardiology A, University Hospitals of Coimbra , Coimbra , Portugal
| | - João Calisto
- a Cardiology A, University Hospitals of Coimbra , Coimbra , Portugal
| | - Vítor Matos
- a Cardiology A, University Hospitals of Coimbra , Coimbra , Portugal
| | - Mariano Pego
- a Cardiology A, University Hospitals of Coimbra , Coimbra , Portugal
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