Tension pneumopericardium is a rare disease that is very difficult to diagnose. A 3-year old child was run over by a minibus. Computed tomography showed bilateral pneumothorax, multiple rib fractures on both sides, and a hepatic laceration. The massive blunt thoracic trauma caused entrapped air in the pericardium, and a tension pneumoprecordium developed abruptly. We report this unique case of tension pneumopericardium in a child, and the subsequent emergency surgery and damage control measures.
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Pneumopericardium, a Heart in a Trap.
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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.
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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.
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