Para-sternal echocardiography proved impossible in a case of a large pneumopericardium caused by an oesophageo-pericardial fistula. However, M mode and sector scanning showed separation of the pericardium, giving non-homogeneous echoes, and shaded echographic areas caused by the interference of air which masked all recognisable structures. This occurred in time with systole, a sign which we associate with the pneumopericardium itself.
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Article Synopsis
- Tracheopericardial fistula (TPF) is a rare condition where lung disease forms a fistula between the trachea and the pericardial cavity, causing serious complications like pneumopericardium and potential cardiac issues.
- A 72-year-old man with recurrent lung cancer presented symptoms such as chest pain and fever, leading to an ST-segment elevation on his ECG that initially resembled a heart attack.
- Diagnosis was confirmed through advanced imaging techniques and bronchoscopy, highlighting the importance of recognizing TPF to avoid misdiagnosis in similar cases.
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