Pneumopericardium as a non-small-cell lung carcinoma complication

Kubisa, Anna; Lesińska, Anna; Dec, Paweł; Szewczak-Głodek, Małgorzata; Kochanowski, L.; Kubisa, Bartosz; Feledyk, Grzegorz; Czarnecka, Michalina; Wójcik, Janusz; Grodzki, Tomasz

doi:10.5114/kitp.2016.62618

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Similar to our case, dyspnea was the most common presenting symptom along with chest pain [7][8][9]. Other common presentation symptoms included cough, fever, weight loss, and hemoptysis [9][10][11].…”

Section: Discussionsupporting

confidence: 81%

“…Physical examination provides important clues for diagnosis. Commonly reported physical exam findings included distant heart sounds [11,12]. Classic findings such as Haman's crunch and subcutaneous emphysema are seen with pneumomediastinum; however, they can coexist with pneumopericardium and hence clinicians should keep an eye out for them as they can point toward the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopy played an important role, such as used in the case of esophageal cancer stent implantation to block of the esophageal pericardial fistula [16]. It was important to watch for the development or presence of cardiac tamponade, in which case an urgent pericardiocentesis or pericardial window is warranted [6,8,[10][11][12]. Stable, asymptomatic patients can also be managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

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Cancer-Related Pneumopericardium: A Case Report and Literature Review

Hirani¹,

Martinez²,

Patan³

et al. 2020

Case Rep Oncol

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Pneumopericardium is a relatively rare entity mostly described in the literature as a result of causes such as penetrating/blunt trauma and iatrogenic causes during cardiothoracic procedures. We are presenting a case of pneumopericardium as a complication of progressed gastroesophageal junction tumor along with a literature review of all cancer-related pneumopericardium cases reported in the last decade. We present the case of a 65-year-old male with a past medical history significant for locally advanced gastroesophageal junction adenocarcinoma who presented to the hospital with complaints of shortness of breath and fever. A chest X-ray showed an intact esophageal stent along with radiolucency around the cardiac silhouette which suggested pneumopericardium. Computed tomography scan of the chest confirmed the presence of pneumopericardium in posterior pericardium with foci of gas above the esophageal stent likely to be communicating with the pericardium. An echocardiogram was obtained which showed no signs of tamponade. Given the advanced nature of the disease we applied a conservative management given that the pneumopericardium was deemed to be small with no tamponade. Goals of care were discussed with the patient and his family and the patient opted for comfort care measures. This case report prompted us to perform an extensive literature review of cancer-related pneumopericardium from 2008 to 2019. We found 11 cases where it was reported secondary to malignancies of different kinds. Our aim is to compile a review for clinicians to view varied presentations and better direct therapy dependent on the individual case and clinical presentation in patients with cancerrelated pneumopericardium. Moreover, although pneumopericardium is rare, it should be considered in differential diagnosis in patients presenting with shortness of breath or chest pain especially with cancers involving the cardiothoracic region.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cancer-Related Pneumopericardium: A Case Report and Literature Review

Hirani¹,

Martinez²,

Patan³

et al. 2020

Case Rep Oncol

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“…The urgent pericardial window was performed to decompress pericardial space and the patient survived. A similar case was treated with emergency mini‐thoracotomy and cut in pericardium . Bronchial stenting with covered stent may be another treatment option if patient's hemodynamic condition permits the procedure .…”

Section: Discussionmentioning

confidence: 99%

A case of bronchopericardial fistula with tension pneumopericardium closed successfully by transpericardial intervention: A novel procedure

Shelke

Kawade

Gandhi

2017

Cathet Cardio Intervent

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A pneumopericardium is a collection of air or gas in the pericardial sac which may cause cardiac tamponade, known as tension pneumopericardium. Tension pneumopericardium is a rare and lethal presentation of bronchopericardial fistula. There are very few reports in the literature of patients surviving with this condition, although prompt diagnosis and early intervention are important. Treatment options are limited. We present a rare case of tension pneumopericardium with cardiogenic shock due to bronchopericardial fistula in a patient with bronchogenic carcinoma who was successfully treated with transpericardial intervention.

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Managing pneumopericardium in advanced lung cancer: A case report and literature review

Chaaban,

Souraya,

Bitar

et al. 2024

Sanamed

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Introduction: Pneumopericardium, though rare, can lead to severe complications such as cardiac tamponade, particularly in patients with ma-lignancies. This case-based review examines the incidence , management, and outcomes of pneumopericardium in a patient with advanced lung cancer. Case Report: We present a comprehensive literature review and a detailed analysis of a 57-year-old male with metastatic squamous cell carcinoma of the lung, who developed pneumopericardium. The pa-tient's clinical presentation, diagnostic challenges, and management strategies were documented and compared with similar cases. He presented with cough and dyspnea, and imaging revealed pneumopericardi-um, likely due to tumor invasion into the pericardial space. Management involved conservative measures, including antibiotics and close monitoring. A literature review revealed that management strategies for pneumopericardium vary based on hemodynamic stability, ranging from conservative treatments to invasive procedures. Recurrence is common, and survival times post-diagnosis are highly variable. Conclusion: Pneumopericardium in cancer patients requires a tailored management approach, with a multidisciplinary team essential for optimizing patient outcomes. This case underscores the need for heightened awareness and prompt, individualized treatment plans for managing such complex conditions.

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Pneumopericardium as a non-small-cell lung carcinoma complication

Cited by 3 publications

References 4 publications

Cancer-Related Pneumopericardium: A Case Report and Literature Review

Cancer-Related Pneumopericardium: A Case Report and Literature Review

A case of bronchopericardial fistula with tension pneumopericardium closed successfully by transpericardial intervention: A novel procedure

Managing pneumopericardium in advanced lung cancer: A case report and literature review

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