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Pneumopericardium, a Heart in a Trap.
J Clin Med
December 2024
Clinic of Anaesthesiology and Intensive Care, Central Clinical Hospital, Medical University of Lodz, 92-213 Lodz, Poland.
The text discusses the case of a patient who experienced pneumopericardium because of a traumatic incident. It discusses pneumopericardium's causes, symptoms, and complications, including tamponade symptoms and imaging modalities, to confirm the diagnosis and assess complications. Present various treatment options emphasize the importance of ongoing monitoring and damage control principles.
View Article and Find Full Text PDFBronchopericardial Fistula: A Rare Complication of Necrotizing Pneumonia.
Cureus
July 2024
Department of Pulmonary Medicine, Byramjee Jeejeebhoy (BJ) Government Medical College, Pune, IND.
Article Synopsis
- - Pneumopericardium can occur as a rare complication of bronchopericardial fistula due to necrotizing pneumonia, which can lead to serious conditions like tension pneumopericardium requiring urgent medical intervention.
- - A 41-year-old male with chronic conditions presented with respiratory symptoms and was diagnosed with necrotizing pneumonia that communicated with the pericardial cavity, showing air and fluid accumulation around the heart.
- - The patient was treated with antibiotics and showed improvement, indicating that mild pneumopericardium can be managed conservatively, while early detection is essential to prevent complications and stabilize patient health.
Pneumopericardium following severe thoracic trauma.
Injury
May 2024
Grady Memorial Hospital, 80 Jesse Hill Jr Drive SE Atlanta, GA 30303, US.
Background: Traumatic pneumopericardium (PPC) is a rare clinical entity associated with chest trauma, resulting from a pleuropericardial connection in the presence of a pneumothorax, interstitial air tracking along the pulmonary perivascular sheaths from ruptured alveoli to the pericardium, or direct trachea-bronchial-pericardial communication. Our objectives were to describe the modern management approach to PPC and to identify variables that could improve survival with severe thoracic injury.
Methods: We conducted a retrospective study of the trauma registry between 2015 and 2022 at a Level I verified adult trauma center for all patients with PPC.
A return to 1992: Using the "blowhole" technique for diffuse subcutaneous emphysema caused by a broncho-pleural fistula.
Respir Med Case Rep
December 2023
SUNY Upstate Medical University, Department of Pulmonary Critical Care Medicine, Syracuse, NY, 13210, USA.
A bronchopleural fistula (BPF) is an abnormal communication between the bronchial tree and pleural space resulting in a high risk for morbidity and mortality. We describe a case highlighting the management of a BPF with subcutaneous and mediastinal air resulting in dysphagia and dysphonia using a technique that was first described in a 1992 CHEST article. The "Blowhole" technique may be utilized for patients that are poor surgical candidates requiring rapid correction and prevention of detrimental consequences such as pneumomediastinum, tension pneumothorax, upper airway compromise and pneumopericardium.
View Article and Find Full Text PDFCerebral arterial gas embolism (CAGE) during open water scuba certification training whilst practising a controlled emergency swimming ascent.
Diving Hyperb Med
December 2023
Australasian Diving Safety Foundation, Melbourne, Australia.
We report the case of a 23-year-old male novice diver who sustained cerebral arterial gas embolism (CAGE) during his open water certification training whilst practising a free ascent as part of the course. He developed immediate but transient neurological symptoms that had resolved on arrival to hospital. Radiological imaging of his chest showed small bilateral pneumothoraces, pneumopericardium and pneumomediastinum.
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