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A rare complication of a thoracic wound: the pneumopericardium?

Forensic Sci Med Pathol

January 2025

LaTIM, Inserm UMR 1101, 22 Avenue Camille-Desmoulins, CS 93837, Brest cedex, 29238, France.

Pneumopericardium (PPC) is defined by the presence of gas in the pericardial cavity, often leading to cardiac tamponade and a high mortality rate. This report describes a case involving a 33-year-old man found deceased a few meters from a knife, his clothes intact, with no resuscitation attempt made. A knotted scarf was tightly fastened around his neck, without ligature mark.

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Pericardial-esophageal fistula is a rare complication after radiofrequency ablation for atrial fibrillation. A 52-year-old man developed pneumopericardium, which was revealed by echocardiogram and computed tomography, after a combined ablation and left atrial appendage occlusion procedure for atrial fibrillation. He was diagnosed with a pericardial-esophageal fistula and underwent surgical pericardial and mediastinal drainage tube placement.

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Article Synopsis
  • Esophagopericardial fistulas are very rare and can develop from cancer or medical procedures.
  • The article presents a case of a patient who experienced cardiac tamponade due to this fistula.
  • It emphasizes the importance of timely diagnosis and collaboration among medical professionals to manage the high risks associated with this condition.
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Extralobar pulmonary sequestration (EPS) in the mediastinum is rare, and preoperative diagnosis can be challenging. We report a case of EPS in the middle mediastinum, where a congenital pericardial defect became apparent on computed tomography (CT) imaging as pneumopericardium concurrent with spontaneous pneumothorax. The patient presented with a left spontaneous pneumothorax.

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