ABSTRACT
Pneumopericardium is defined as the presence of air inside the pericardial space. Usually, it is reported as a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported. Pneumopericardium is relatively stable if it does not generate a tension effect on the heart. However, it may progress to tension pneumopericardium, which requires immediate pericardial aspiration. We report a case of iatrogenic pneumopericardium occurred in a 70-year-old man who presented dyspnea at emergency department. The patient underwent pericardiocentesis for cardiac tamponade due to large pericardial effusion, and iatrogenic tension pneumopericardium occurred due to misuse of the drainage device. After evacuating the pericardial air through the previously implanted catheter, the patient became stable. We report this case to increase the awareness of this fatal condition and to help increase the use of precautions against the development of this condition during emergency procedures.
Subject(s)
Aged , Humans , Male , Cardiac Tamponade/etiology , Drainage , Dyspnea/diagnosis , Emergency Medical Services , Heart Ventricles/physiopathology , Medical Errors , Pericardial Effusion/diagnostic imaging , Pericardiocentesis , Pneumopericardium/diagnosis , Tomography, X-Ray ComputedABSTRACT
Pneumomediastinum with its usual associations like pneumopericardium has been described in detail including review of literature, aetiopathogenesis, symptoms and signs, complications, necessary investigations and management protocol by the authors in this article of multispeciality interest.
Subject(s)
Airway Obstruction/complications , Chest Pain/etiology , Cocaine-Related Disorders/complications , Dyspnea/etiology , Humans , Intubation/adverse effects , Marijuana Abuse/complications , Mediastinal Emphysema/diagnosis , Pneumopericardium/diagnosis , Illicit Drugs/poisoningABSTRACT
Paciente do sexo feminino, 37 anos, apresentou quadro de apendicite aguda com peritonite generalizada, operada tardiamente, evoluiu para piopneumopericárdio e óbito, devido à lesäo de vasos no curso e tratamento cirúrgico
Subject(s)
Humans , Female , Adult , Appendicitis/complications , Peritonitis , Pneumopericardium/diagnosisABSTRACT
Se presentan dos pacientes que consultaron a nuestra institución por dolor pericardial luego de gran consumo de de cocaína inhalada. En ambos casos se descartó infarto agudo de miocardio; por los métodos convencionales y ecocardiografía se documentó neumoparicardio y neumomediastino.