Advertisement
Research Article| Volume 2, ISSUE 6, P409-413, 1985

Download started.

Ok

Traumatic tension pneumopericardium: A case report and literature review

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      A 39-year-old male arrived in the emergency department with multiple stab wounds to the chest. A pneumopericardium was present on initial chest x-ray study. He subsequently developed hypotension, tachycardia, an elevated CVP (36 cm H2O) and a pulsus paradoxus. All parameters improved following removal of 100 cc of air by pericardiocentesis. The etiology, diagnosis, pathophysiology, and treatment of tension pneumopericardium are discussed.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cummings R.G.
        • Wesley R.L.R.
        • Adams D.H.
        • et al.
        Pneumopericardium resulting in cardiac tamponade.
        Ann of Thoracic Surg. 1984; 37: 511-518
        • Bricheteau
        Observat d'hydropneumopericarde accompagne d'un bruit de fluctiation perceptible a l'oreille.
        Arch Gen Med. 1844; 4: 334
        • Oppenheimer R.H.
        Therapeutic pneumopericardium in pericarditis with effusion.
        JAMA. 1924; 82: 1684-1689
        • Rigler L.G.
        Pneumopericardium.
        JAMA. 1925; 84: 504
        • Shackelford R.T.
        Hydropneumopericardium.
        JAMA. 1931; 96: 187
        • Adcock J.D.
        • Lyons R.H.
        • Barnwell
        • et al.
        Circulatory effects produced in a patient with pneumopericardium artificially varying intrapericardial pressure.
        Am Heart J. 1940; 19: 283-291
        • Wegryn R.L.
        • Zaroff L.I.
        • Weiner R.S.
        Spontaneous tension pneumopericardium.
        N Engl J Med. 1968; 279: 1440-1441
        • Sebastian J.A.
        • Baker R.L.
        • Goldstein M.J.
        Postpartum pneumopericardium without pneumomediastinum.
        Obstet Gynecol. 1973; 41: 392-396
        • Herrerias J.M.
        • Ariza A.
        • Garrido M.
        An unusual complication of laparoscopy-Pneumopericardium.
        Endoscopy. 1980; 12: 254-255
        • Baum R.S.
        • Welch T.G.
        • Bryson A.L.
        Spontaneous pneumopericardium.
        West J Med. 1976; 125: 154-156
        • Baydur A.
        • Gottleib L.S.
        Pneumopericardium and pneumothorax complicating bronchogenic carcinoma.
        West J Med. 1976; 124: 144-146
        • Cramm R.E.
        • Robinson F.W.
        Pneumopericardium associated with gastric cancer—Report of a case and literature review.
        Gastroenterology. 1971; 60: 311-315
        • Ghahremani G.G.
        • Yaghmai S.
        • Brooks J.W.
        • et al.
        Pneumopericardium due to transdiaphragmatic perforation of a gastric ulcer.
        Am J Dig Dis. 1976; 21: 586-591
        • Monro J.L.
        • Nicholls R.J.
        • Hately W.
        • et al.
        Gastropericardial fistula—A complication of hiatal hernia.
        Br J Surg. 1974; 61: 445-447
        • Pfaff C.
        • Hunter T.B.
        • Silverstein M.E.
        • et al.
        Pneumopericardium secondary to a fistula—Communication between pericardium and subphrenic-colonic abscesses.
        JAMA. 1976; 235: 2522-2523
        • Price D.
        • Perkes E.
        • Farman J.
        Pericardial complications of peptic ulceration.
        Gastrointest Radiol. 1980; 5: 117-119
        • Tjhen K.Y.
        • Schmaltz A.A.
        • Ibrahim Z.
        • Nolte K.
        Pneumopericardium as a complication of foreign body aspiration.
        Pediatr Radiol. 1978; 7: 121-123
        • Nicholson R.D.
        • Berman N.D.
        Pneumopericardium following laparoscopy.
        Chest. 1979; 76: 605-607
        • Sagel S.S.
        • Wimbush P.
        • Goldenberg D.B.
        Tension pneumopericardium following assisted ventilation in hyaline membrane disease.
        Radiology. 1973; 106: 175-178
        • Sandier L.M.
        • Libshitz H.I.
        • Marks K.
        Pneumoperitoneum, pneumomediastinum and pneumopericardium following dental extraction.
        Radiology. 1975; 115: 539-540
        • Toledo T.M.
        • Moore Jr., W.L.
        • Nash D.A.
        • et al.
        Spontaneous pneumopericardium in acute asthma.
        Chest. 1972; 62: 118-120
        • Tsai F.Y.
        • Lee K.F.
        Pneumopericardium and pneumomediastinum—Rare complications of pneumoencephalography.
        Radiology. 1974; 112: 95-97
        • O'Neill D.
        Pneumopericardium and pneumomediastinum complicating endotracheal intubation.
        Postgrad Med J. 1979; 55: 273-275
        • Hacker P.K.
        • Dorsey J.D.
        Pneumopericardium and pneumomediastinum following closed chest injury.
        JACEP. 1979; 8: 409-411
        • Westaby S.
        Pneumopericardium and tension pneumopericardium after closed chest injury.
        Thorax. 1977; 32: 91-97
        • Hipona F.A.
        • Paredes S.
        The radiology of pericardial disease.
        Cardiovasc Clin. 1976; 7: 91-124
        • Davis J.W.
        • McKone T.K.
        • Cram A.E.
        Hemodynamic effects of MAST in experimental cardiac tamponade.
        Ann Emerg Med. 1981; 10 (Selected): 185-186