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An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A... Pneumopericardium, an accumulation of air in the pericardial cavity, occurs very rarely as compared to pneumothorax and pneumomediastinum. Clinical presentation is variable, patients are frequently asymptomatic, and mild cases usually resolve spontaneously. However, it may lead to pericardial tamponade, which requires rapid diagnosis and treatment that can be lifesaving. The traditional diagnostic, simple method of diagnosis is via an upright chest X-ray. Typical findings can be detected and a differential diagnosis can be made between pneumomediastinum and pneumopericardium. Echocardiography and chest computed tomography scans can also support the diagnosis. Only one case of pneumopericardium after surgical pericardiotomy has been reported in the literature so far. In this case report, iatrogenic pneumopericardium, which resolved spontaneously after surgical pericardiotomy, was reported in a 19-year-old patient who had a rejected liver transplantation, and had liver and kidney failure with pericardial tamponade. In this case, pneumopericardium was accompanied by pneumoperitoneum and subcutaneous emphysema; an extremely rare combination. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cardiology and Therapy Springer Journals

An Extremely Rare Combination: Pneumopericardium, Pneumoperitoneum, and Subcutanous Emphysema—A Case Report

Uluçam, Melek
Cardiology and Therapy , Volume 2 (1) – Dec 1, 2012
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8 pages

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Publisher
Springer Journals
Copyright
Copyright © 2012 by The Author(s)
Subject
Medicine & Public Health; Internal Medicine; Cardiology
ISSN
2193-8261
eISSN
2193-6544
DOI
10.1007/s40119-012-0008-6
pmid
25135293
Publisher site
See Article on Publisher Site

Abstract

Pneumopericardium, an accumulation of air in the pericardial cavity, occurs very rarely as compared to pneumothorax and pneumomediastinum. Clinical presentation is variable, patients are frequently asymptomatic, and mild cases usually resolve spontaneously. However, it may lead to pericardial tamponade, which requires rapid diagnosis and treatment that can be lifesaving. The traditional diagnostic, simple method of diagnosis is via an upright chest X-ray. Typical findings can be detected and a differential diagnosis can be made between pneumomediastinum and pneumopericardium. Echocardiography and chest computed tomography scans can also support the diagnosis. Only one case of pneumopericardium after surgical pericardiotomy has been reported in the literature so far. In this case report, iatrogenic pneumopericardium, which resolved spontaneously after surgical pericardiotomy, was reported in a 19-year-old patient who had a rejected liver transplantation, and had liver and kidney failure with pericardial tamponade. In this case, pneumopericardium was accompanied by pneumoperitoneum and subcutaneous emphysema; an extremely rare combination.

Journal

Cardiology and Therapy – Springer Journals

Published: Dec 1, 2012

References

  • A case of pneumopericardium following endomyocardial biopsy
    Celik, T; Iyisoy, A; Kursaklioglu, H; Gunay, C; Yuksel, UC; Isik, E
  • Two pediatric cases of spontaneous pneumomediastinum and subcutaneous emphysema during status asthmaticus
    Pişkin, I; Ozmen, S; Teoman, P; Arslan, Z
  • Cardiac tamponade in medical patients: treatment and prognosis in the echocardiographic era
    Markiewicz, W; Borovik, R; Ecker, S
  • The risk of pericardiocentesis
    Wong, B; Murphy, J; Chang, CJ; Hassenein, K; Dunn, M
  • Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European Society of Cardiology
    Maisch, B; Seferovic, PM; Ristic, AD
  • Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. The Mayo Clinic experience
    Tsang, TS; Freeman, WK; Barnes, ME; Reeder, GS; Packer, DL; Seward, JB
  • Clinical and echocardiographic characteristics of significant pericardial effusions following cardiothoracic surgery and outcomes of echo-guided pericardiocentesis for management: Mayo Clinic experience, 1979–1998
    Tsang, TS; Barnes, ME; Hayes, SN
  • Pericardiocentesis
    Krikorian, JG; Hancock, EW
  • Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years
    Tsang, TS; Enriquez-Sarano, M; Freeman, WK
  • ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography)
    Cheitlin, MD; Armstrong, WF; Aurigemma, GP
  • Subxiphoid approach for treatment of pericardial effusion
    Sarigul, A; Farsak, B; Ates, MS; Demircin, M; Pasaoglu, I
  • Comparison of open subxiphoid pericardial drainage with percutaneous catheter drainage for symptomatic pericardial effusion
    McDonald, JM; Meyers, BF; Guthrie, TJ; Battafarano, RJ; Cooper, JD; Patterson, GA
  • Pericardial effusion: subxiphoid pericardiostomy versus percutaneous catheter drainage
    Allen, KB; Faber, LP; Warren, WH; Shaar, CJ
  • Subxiphoid pericardial drainage for pericardial tamponade
    Moores, DW; Allen, KB; Faber, LP
  • Pericardial window: mechanism of efficacy
    Sugimoto, JT; Little, AG; Ferguson, MK
  • Pericardiocentesis and intrapericardial sclerosis: effective therapy for malignant pericardial effusions
    Girardi, LN; Ginsburg, RJ; Burt, ME
  • Tension pneumopericardium: case report
    Macgoey, P; Schamm, M; Degiannis, E
  • Iatrogenic tension pneumopericardium in a patient with posttraumatic acute respiratory distress syndrome
    Just, B; Ledon, S; Lejean, F; Boutiere, JP; Mateu, P
  • Pneumopericardium following tracheostomy closure
    Koloutsos, G; Barbetakis, N; Kirodimos, E; Samanidis, G; Paliouras, D; Vahtsevanos, K
  • Pneumopericardium after pericardiocentesis: a case report
    Ozerkan, F; Bilgin, M; Oktem, MS; Alkan, MB
  • Iatrogenic pneumopericardium
    Varol, E; Ozaydin, M; Ağçal, C
  • Pneumopericardium after pericardiocentesis
    Mullens, W; Dupont, M; Raedt, H
  • Pneumohydropericardium with cardiac tamponade after pericardiocentesis
    Methachittiphan, N; Boonyaratavej, S; Kittayarak, C
  • Unusual chest radiograph after surgical pericardiotomy
    Marijon, E; Jani, D; Aubert, S
  • Pneumopericardium with cardiac tamponade as a complication of cardiac pacemaker insertion one year after procedure
    O’Neill, R; Silver, M; Khorfan, F
  • Pneumopericardium after attempted left ventricular lead insertion
    Baranchuk, A; Simpson, CS; Pinto, S; Redfearn, DP
  • Boerhave’s Syndrome: Multislice CT findings: Case report
    Kurt, A; Karaoğlanoğlu, M; Tanrıvermiş, A; İpek, A
  • Continuous left hemidiaphragm sign revisited: a case of spontaneous pneumopericardium and literature review
    Brander, L; Ramsay, D; Dreier, D; Peter, M; Graeni, R
  • Direct demonstration of an air-fluid interface by two-dimensional echocardiography: a new diagnostic sign of hydropneumopericardium
    Antonini-Canterin, F; Nicolosi, GL; Mascitelli, L; Zanuttini, D
  • Echocardiographic detection of pneumomediastinurn and pneumo-pericardium: the air gap sign
    Reid, CL; Chandrarama, AN; Icawanishi, D
  • Echocardiographic diagnosis of pneumopericardium and hydropneumopericardium
    Bedotto, IB; McBride, W; Abraham, M; Taylor, AL
  • Bubbles around the heart: pneumopericardium 10 days after pericardiocentesis
    Yuce, M; Sari, I; Davutoglu, V; Ozer, O; Usalan, C
  • Pneumopericardium resulting in cardiac tamponade
    Cummings, RG; Wesly, RL; Adams, DH; Lowe, JE
  • Posttraumatic tension pneumopericardium: the “small heart” sign
    Mirvis, SE; Indeck, M; Schorr, RM; Diaconis, JN
  • Pneumopericardium following rupture of the oesophagus
    Morimatsu, Y; Kawano, F; Aizawa, H
  • Tension pneumopericardium following blunt injury
    Capizzi, PJ; Martin, M; Bannon, MP
  • Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature
    Karaman, A; Demirbilek, S; Akin, M; Gürünlüoglu, K; Irşi, C