RESUMO
We report the unique case of a patient with an idiopathic pneumopericardium due to heavy lifting and discuss Valsalva's maneuver as a rare cause in the pathogenesis of pneumopericardium. Our patient recovered without treatment and had no recurrence of pneumopericardium during follow-up. All physicians should be aware of pneumopericardium as a possible cause of chest pain, especially when no trauma is visible. Pneumopericardium may also be an occasional complication of pneumothorax and pneunomediastinum.
Assuntos
Esforço Físico , Pneumopericárdio/etiologia , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Pneumopericárdio/diagnóstico por imagem , Radiografia Torácica , Remissão Espontânea , Tomografia Computadorizada por Raios XRESUMO
A female patient with progressive systemic sclerosis and pulmonary fibrosis had a dermatofibrosarcoma protuberans on the right thigh. After resection of the tumor, new lesions occurred in the scar, and wide excision was repeated. Two years later, a lung metastasis was discovered, and segmental resection was done. After 1 year of follow-up, no local recurrences or metastases were found.
