Spontaneous Tension Pneumopericardium Complicating Staphylococcal Pneumonia

Maki, Daniel D.; Sehgal, Manu; Kricun, Morrie E.; Gefter, Warren B.

doi:10.1097/00005382-199907000-00010

Cited by 14 publications

(15 citation statements)

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“…Cases of tension pneumopericardium have been reported after penetrating and blunt chest trauma, and rarely after adjacent pulmonary infection [1]. To our knowledge, this is the only reported case of tension pneumopericardium secondary to perforation of a gastric ulcer.…”

Section: Discussionmentioning

confidence: 76%

“…In clinical practice the most common cause is iatrogenic, either following cardiothoracic surgery or pericardiocenteisis [1]. Other reported aetiologies include penetrating chest trauma [2][3][4][5][6], blunt chest trauma [7][8][9][10], barotrauma from mechanical ventilation, especially in neonates [11], infection from gas-forming organisms [12] and the presence of an abnormal communication between an air-containing structure and the pericardial sac, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…This is thought to represent the heart 'splashing' within the air/fluid-filled pericardium. Electrocardiogram is non-specific and often normal, but may demonstrate ST segment elevation in some cases [1].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous tension pneumopericardium

Boyce

Corfield²,

McGuffie³

et al. 2004

European Journal of Emergency Medicine

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A 29-year-old man presented to the accident and emergency department complaining of a sudden onset of chest and upper abdominal pain. He had a past history of intravenous drug abuse and a previous stab wound to the left hypochondrium that had required laparotomy. On arrival he was distressed with grunting respiration. Initial chest X-ray showed a pneumopericardium. Despite titrated doses of opiate analgesia he became increasingly distressed, agitated and dyspnoeic. Repeat chest X-ray demonstrated an increase in the volume of air present within the pericardial sac. His clinical condition improved rapidly after needle pericardiocentesis decompression. A water-soluble contrast swallow revealed a diaphragmatic hernia with a filling defect in the greater curve of the stomach and contrast medium entering the pericardial sac. A thoraco-abdominal laparotomy confirmed a pre-existing diaphragmatic defect from the previous stab wound, with surrounding adhesions. A small portion of the stomach had herniated through this defect with a perforated gastric ulcer communicating directly into the pericardial sac.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Spontaneous tension pneumopericardium

Boyce

Corfield²,

McGuffie³

et al. 2004

European Journal of Emergency Medicine

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“…Electrocardiogram is non-specific and often normal, but may demonstrate ST segment elevation. 1 Pneumopericardium appears on a chest X-ray as a fine rim of air outlining both the left and right cardiac borders, when completely surrounding the heart, is referred to as the 'halo sign'. 13 The air is always contained superiorly at the level of the aorta and pulmonary arteries.…”

Section: Discussionmentioning

confidence: 99%

The Way to a Man's Heart is through his Stomach – Peanuts in the Pericardium! a Rare Case of Traumatic Gastropericardial Fistula

Biswas¹,

Cahill

Sherck

2013

Hong Kong j. emerg. med.

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The way to a man's heart is through his stomach  peanuts in the pericardium! A rare case of traumatic gastropericardial fistulaPneumopericardium is most commonly iatrogenic and in cases of gastropericardial fistula, the stomach is usually intrathoracic. We report a case of penetrating trauma induced gastropericardial fistula from an intraabdominal stomach resulting in pneumopericardium. The diagnosis was confirmed during laparotomy. Pneumopericardium, if small, can be managed conservatively, but immediate release is required if tension occurs. Gastropericardial fistula carries a high mortality and should be surgically repaired. (Hong Kong j. emerg.med. 2013;20:53-56) 心包膜腔積氣最常見是醫源性的，在創傷性胃心包瘺的情況，通常胃是在胸內。我們報告一例穿通傷引起的創傷性胃心包瘺和心包膜腔積氣，個案的胃是在腹內。診斷在剖腹探查確診。心包膜腔積氣，如果小的話，可以保守治療，但如果導致張力時，要立即減壓。創傷性胃心包瘺有很高的死亡率，應手術修復。

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“…Tension pneumopericardium has a very high mortality rate in the absence of early recognition and acute intervention. If there is evidence of tamponade, pericardiocentesis is essential 1 2…”

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confidence: 99%

An uncommon complication of staphylococcal pneumonia: pneumopericardium with cardiac tamponade

Marchiori

Canella

Hochhegger

et al. 2015

Thorax

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A 1-year-old girl presented with a 3-day history of fever, cough, and dyspnoea. A chest radiograph demonstrated consolidation in the right upper lobe ( figure 1A). Laboratory tests showed leucocytosis and blood culture showed oxacillin-sensitive Staphylococcus aureus. A radiograph performed 12 days later (figure 1B) showed pneumatocoele formation. On the 25th day, the patient's condition worsened abruptly, with hypotension. A chest radiograph ( figure 1C, D) showed pneumopericardium. Pericardiocentesis was performed, but the child died 2 days later. Tension pneumopericardium has a very high mortality rate in the absence of early recognition and acute intervention. If there is evidence of tamponade, pericardiocentesis is essential. 2Contributors CC, EM and GZ planned the study. GZ and BH conducted a survey. EM submitted the study. CC and EM are responsible for the overall content as guarantors. GZ and BH collected the data. GZ and BH analysed and interpreted the samples and the data. CC and EM wrote the manuscript. All authors revised and approved the final version of the manuscript.Competing interests None. Patient consent Obtained.Ethics approval The ethics committee/institutional review board waived the approvation.Provenance and peer review Not commissioned; internally peer reviewed.

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Spontaneous Tension Pneumopericardium Complicating Staphylococcal Pneumonia

Cited by 14 publications

References 0 publications

Spontaneous tension pneumopericardium

Spontaneous tension pneumopericardium

The Way to a Man's Heart is through his Stomach – Peanuts in the Pericardium! a Rare Case of Traumatic Gastropericardial Fistula

An uncommon complication of staphylococcal pneumonia: pneumopericardium with cardiac tamponade

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