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Endometriosis presenting as catamenial pneumothorax, pneumopericardium and pneumoperitoneum.
BMJ Case Rep
January 2025
Pulmonary Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India
A nulliparous woman in her late 30s with a history of pericardial patch repair for atrial septal defect and completed treatment for pulmonary tuberculosis 9 years ago presented with chest pain, breathlessness and abdominal pain. Radiological imaging revealed right-sided pneumothorax, pneumopericardium and pneumoperitoneum for which an intercostal drain (ICD) was placed. A contrast-enhanced CT of the abdomen showed a distal stomach perforation, which was managed conservatively.
View Article and Find Full Text PDFThe Mechanism and Management of Pneumopericardium Caused by Right Ventricular Lead Perforation.
Cardiol Res
December 2024
Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
An 83-year-old man underwent dual-chamber pacemaker placement for complete atrioventricular block at another hospital. The active-fixation ventricular lead was positioned on the free wall of the anterior right ventricle. Ventricular pacing failure occurred on the day after pacemaker implantation, and fluoroscopy revealed right ventricular (RV) lead perforation.
View Article and Find Full Text PDFA rare complication of intracardiac double knotting of temporary pacemaker lead during bedside insertion: a case report.
Eur Heart J Case Rep
December 2024
Department of Cardiology, St. John's National academy of Health Sciences, University-Rajiv Gandhi University of Health Sciences, Bengaluru 560034, Karnataka, India.
Background: Temporary pacemaker lead implantation is a common low-risk procedure, but can occasionally get complicated by infections, arrhythmias, thromboembolic events, and perforation of the vessel or the heart. However, intracardiac knotting of the temporary pacemaker lead has been rarely reported. This could lead to vascular or valvular injury, pneumothorax, symptomatic loss of pacing or haemodynamic compromise, and difficult lead removal.
View Article and Find Full Text PDFUncommon Cardiac Perforation and Lead Displacement After Pacemaker Implantation: A Case Study and Diagnostic Insights.
Am J Case Rep
December 2024
School and Graduate Institute of Nursing, China Medical University, Taichung City, Taiwan.
BACKGROUND Pacemaker implantation serves as a prevalent therapeutic approach for bradycardia or atrioventricular blocks associated with syncope. While generally regarded as safe, this procedure is not devoid of rare yet severe complications. Examples include lead-induced cardiac perforation resulting in pneumothorax or pericardial effusion, which pose life-threatening risks.
View Article and Find Full Text PDFThe path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation.
Radiol Case Rep
February 2025
Department of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada.
Nasogastric tube placement is frequently performed in various medical settings. While generally deemed safe in patients without risk factors, complications may occur due to malposition, justifying the need of systematic confirmation of position with chest radiographs. We present the case of a critically ill male adult patient for whom the tube position was initially deemed very unusual on postinsertion radiographs, prompting further workup which ultimately confirmed an oropharyngeal perforation with a left parapharyngeal, left visceral, retrotracheal, and right retrodiaphragmatic course, and resulting in a recurrent pneumothorax and empyema treated by surgical decortication.
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