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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.

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Introduction And Importance: Pneumopericardium is collection of gas in pericardial space. Retrospective reviews have described pneumopericardium as a complication of laparoscopic surgery, however, without any symptoms. By this report, we present a case who developed acute cardiopulmonary symptoms after retroperitoneal laparoscopic radical nephrectomy because of pneumopericardium.

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Management laparoscopy of tension pneumopericardium.

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From the Department of Surgery (S.P.-W.), and Division of Trauma and Emergency Surgery, Department of Surgery (D.A.M.T.), Pablo Tobón Uribe Hospital; Department of Surgery, University of Antioquia (D.A.M.T.); Thoracic Surgery, Department of Surgery (L.M.V.), Pablo Tobón Uribe Hospital; Department of Surgery (D.A.M.T.), University of Antioquia; Thoracic Surgery (L.M.V.), Department of Surgery, Pablo Tobón Uribe Hospital, Medellin, Colombia.

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Pneumopericardium suggesting left ventricular assist device-related gastrointestinal complication.

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Department of Cardiovascular Surgery, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

We report an uncommon case of ventricular assist device-related infection and resultant fistula formation into the gastrointestinal tract. A 69-year-old man, who had undergone implantation of a HeartMate II 1 year earlier secondary to ischemic cardiomyopathy, presented to our hospital with a high fever. Computed tomography showed unusual gas collection around the heart apex (i.

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Aim: The purpose of this study is to determine the anatomica! aspects, mechanisms, risk factors and appropriate management of development of pneumothorax during a routine colonoscopy.

Material Of Study: The review has been carried out according to PRISMA statement. The literature search included PubMed and Scopus database.

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