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Post-surgical hydropneumopericardium: a case report of dramatic increase in the apparent size of pericardial effusion with positional changes.
Eur Heart J Case Rep
December 2019
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Background: Pneumopericardium is an uncommon clinical finding. It most commonly occurs after chest trauma but can also emerge as a complication following interventional or surgical procedures and can result in life-threatening complications. A high index of clinical suspicion should be present and once the condition is recognized, it should be managed promptly.
View Article and Find Full Text PDFPleuro-pericardial communication due to pigtail catheters in extreme preterm infants: Diagnosis and intervention.
J Neonatal Perinatal Med
October 2018
Department of Pediatrics, Division of Neonatal-Perinatal Medicine and Developmental Biology, University of Arizona, College of Medicine, Tucson, AZ, USA.
Pneumothorax in preterm infants is associated with an increased risk of chronic lung disease, intraventricular hemorrhage and mortality. In mechanically ventilated preterm infants, for the management of tension pneumothorax if needle aspiration is not successful a thoracostomy is needed. In the last two decades management of tension pneumothorax has changed from the use of traditional chest tubes to percutaneous pigtail catheter thoracostomy (PPCT) as the most commonly used technique.
View Article and Find Full Text PDFGastro-pleuro-pericardial fistula following combined radiation and chemotherapy for lung metastases from renal cell carcinoma: report of a case.
Surg Today
December 2013
Section of General Surgery and Surgical Oncology, Department of Human Pathology and Oncology, University of Siena, viale Bracci, Policlinico "Le Scotte", 53100, Siena, Italy.
Gastropleural and gastropericardial fistulas are abnormal communications between the stomach and the pleural cavity or pericardium. They are rare and life-threatening complications, which require prompt surgical intervention. We report the case of a gastro-pleuro-pericardial fistula that developed in a patient treated with radiotherapy and then Sunitinib (Sutent(®)), a novel tyrosine-kinase inhibitor, for lung metastases from renal cell carcinoma.
View Article and Find Full Text PDFThe Macklin effect causing a pneumopericardium.
J Cardiovasc Med (Hagerstown)
August 2012
Division of Cardiology, Department of Medicine, University of Louisville, Louisville, KY, USA.
Pleuropericarditis is a common clinical entity that has been reported in association with several diseases. However, pleuropericarditis following blunt thoracic trauma is very rare and difficult to diagnose. Here we present a case of a young man who presented to the emergency department with acute shortness of breath following a motor vehicle accident.
View Article and Find Full Text PDFPneumopericardium as a complication of pericardiocentesis.
Korean Circ J
May 2011
Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Pneumopericardium is a rare complication of pericardiocentesis, occurring either as a result of direct pleuro-pericardial communication or a leaky drainage system. Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis. This clinical measurement and process is variable, depending on the hemodynamic status of the patient.
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