Pneumopericardium is a rare complication of
pericardiocentesis, occurring either as a result of direct pleuro-pericardial
communication or a leaky
drainage system.
Air-fluid level surrounding the
heart shadow within the
pericardium on a
chest X-ray is an early
observation at
diagnosis. This clinical measurement and process is variable, depending on the
hemodynamic status of the
patient. The development of a
cardiac tamponade is a serious complication, necessitating prompt recognition and
treatment. We recently observed a case of
pneumopericardium after a
therapeutic pericardiocentesis in a 20-year-old man with tuberculous
pericardial effusion.