Spontaneous pneumopericardium in a patient with lung cancer

Campos, I; Azevedo, Pedro; Fernandes, Beatriz; Pereira, Vítor Hugo

doi:10.1093/ehjcr/ytaa346

“…Patients with hemodynamic instability require emergent pericardiocentesis [1,2,5,7]. Watchful waiting may be considered if asymptomatic and hemodynamically stable, as it happened to our patient and with Caselli et al [3] and Durães-Campos et al [6], as it can resolve spontaneously or by treatment of the underlying condition [8].…”

Section: Discussionmentioning

confidence: 81%

“…Comparing with current literature [1][2][3][4][5][6], cases of pneumopericardium have variable prognosis. In the setting of an esophago-pericardial fistula, it may resolve with therapy directed to the condition responsible for the fistula formation and scarring by second intention, but it is still a dreaded situation.…”

Section: Discussionmentioning

confidence: 86%

The “Airgap” and “Swirling Bubbles” signs in a Patient with Esophageal Carcinoma

Pinto

¹

,

Martins

²

,

Carvalho

³

et al. 2022

Preprint

0

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Introduction: Pneumopericardium is a dreaded complication in esophageal carcinoma. Case description: We report a case of a 62 year old patient with past history of esophageal cancer with spontaneus pneumopericardium, without hemodynamic compromise. Admission echocardiogram that revealed a pneumopericadium with the presence of the “swirling bubbles” and the “air gap” sign. A small esophagopericardial fistula was postulated as the cause of the pneumopericardium. He underwent esophageal stent placement with resolution of the pneumopericardium. Discussion: Pneumopericardium is usually a sign of marked clinical deterioration in neoplasia and leads to patients’ death few weeks. Here we presented a case, in which a more fortunate and unusual outcome happened.

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“…Comparing with current literature, 1–6 cases of pneumopericardium have variable prognosis. In the setting of an esophago‐pericardial fistula, it may resolve with therapy directed to the condition responsible for the fistula formation and scarring by second intention, but it is still a dreaded situation.…”

Section: Discussionmentioning

confidence: 89%

“…Patients with hemodynamic instability require emergent pericardiocentesis 1,2,5,7. Watchful waiting may be considered if asymptomatic and hemodynamically stable, as it happened to our patient and with Caselli et al 3 and Durães-Campos et al,6 as it can resolve spontaneously or by treatment of the underlying condition 8.…”

mentioning

confidence: 75%

The “airgap” and “swirling bubbles” signs in a patient with esophageal carcinoma

Pinto

¹

,

Martins

²

,

Seabra

³

et al. 2023

Echocardiography

1

0

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Introduction:Pneumopericardium is a dreaded complication in esophageal carcinoma. Case description:We report a case of a 62 year old patient with past history of esophageal cancer with pneumopericardium, without hemodynamic compromise.Admission echocardiogram that revealed a pneumopericadium with the presence of the "swirling bubbles" and the "air gap" sign. A small esophagopericardial fistula was postulated as the cause of the pneumopericardium. He underwent esophageal stent placement with almost complete resolution of the pneumopericardium.Discussion: Pneumopericardium is usually a sign of marked clinical deterioration in neoplasia and leads to patients' death few weeks. Here we presented a case, in which a more fortunate and unusual outcome happened. Case description:We present a case of a 62 year old patient, with a past history of esophageal cancer with pulmonary metastases undergoing palliative chemotherapy treatment and with two palliative esophageal stents. Other past medical history included active hepatitis B, arterial hypertension and dyslipidaemia. He was an ex smoker of 80 pack-year units.

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“…Cancer related penumopericardium remains rare and potentially serious conditions. CT scan is the gold standard for diagnostic confirmation and the etiological findings [1,2].…”

Section: Case Presentationmentioning

confidence: 99%