RESUMEN
Spontaneous medialstinal emphysema (pneumomediastinum) and pneumopericardium may be defined as the presence of free air or gas in the mediastinal structures and in the pericardial sac without an apparent precipitating cause. It most frequently occurs in young healthy adults without serious underlying pulmonary disease. Although pneumomediastinum and pneumopericardium is often asymptomatic, it may cause pain in the neck and chest, dysphonia and shortness of breath. Treatment is supportive unless the patient has a history of trauma from foreign body aspiration. The course of spontaneous pneumomediastinum and pneumopericardium is usually benign and self-limited. A case of spontaneous pneumomediastinum, pneumopericardium and subcutaneous emphysema in a 20-year-old male is reported in this paper
Asunto(s)
Adulto , Humanos , Masculino , Análisis de los Gases de la Sangre , Estudios de Seguimiento , Enfisema Mediastínico/complicaciones , Neumopericardio/complicaciones , Radiografía Torácica , Remisión Espontánea , Tomografía Computarizada por Rayos XRESUMEN
The coexistence of pneumothorax and pneumopericardium in patients with primary lung cancer is a very rare phenomenon. We report one such case, in which squamous cell carcinoma of the lung was complicated by pneumopericardium and pneumothorax. Several explanations of the mechanisms involved will be discussed.
Asunto(s)
Humanos , Masculino , Carcinoma de Células Escamosas/complicaciones , Neoplasias Pulmonares/complicaciones , Persona de Mediana Edad , Neumopericardio/complicaciones , Neumotórax/complicaciones , Tomografía Computarizada por Rayos XRESUMEN
The coexistence of pneumothorax and pneumopericardium in patients with primary lung cancer is a very rare phenomenon. We report one such case, in which squamous cell carcinoma of the lung was complicated by pneumopericardium and pneumothorax. Several explanations of the mechanisms involved will be discussed.
Asunto(s)
Humanos , Masculino , Carcinoma de Células Escamosas/complicaciones , Neoplasias Pulmonares/complicaciones , Persona de Mediana Edad , Neumopericardio/complicaciones , Neumotórax/complicaciones , Tomografía Computarizada por Rayos XRESUMEN
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.
Asunto(s)
Humanos , Masculino , Adulto , Cocaína/efectos adversos , Enfisema Mediastínico/complicaciones , Enfisema Mediastínico/diagnóstico , Enfisema Mediastínico/epidemiología , Enfisema Mediastínico/etiología , Enfisema Mediastínico/fisiopatología , Enfisema Mediastínico/mortalidad , Enfisema Mediastínico/tratamiento farmacológico , Enfisema Mediastínico/terapia , Neumopericardio/complicaciones , Neumopericardio/diagnóstico , Neumopericardio/tratamiento farmacológico , Neumopericardio/epidemiología , Neumopericardio/etiología , Neumopericardio/fisiopatología , Neumopericardio/terapiaRESUMEN
An unusual association of pneumopericardium with pyopneumothorax is presented. Pneumopericardium responded after intercostal drainage.