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Pneumopericardium
Pneumopericardiums

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WIKIDATA, CC BY 2.0

Presentation

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. [ncbi.nlm.nih.gov]

Cardiovascular

  • Pericardial Friction Rub

    In addition to ECG changes, other findings include dyspnoea, pericardial friction rub, pulmonary rales and an elevated central venous pressure. [dx.doi.org]

  • Retrosternal Chest Pain

    While involved in a rugby match, an 11-year-old boy received a chest compression by 3 players during a tackle. He continued to play, but 2 hours later, he developed sharp retrosternal chest pain. [ncbi.nlm.nih.gov]

Treatment

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. [ncbi.nlm.nih.gov]

Cardiac tamponade needs immediate treatment, though. The most common treatment for this complication is pericardiocentesis. This is where your doctor inserts a long, narrow tube called a catheter into your pericardial sac and draws out the air. [webmd.com]

When it occurs in connection with mediastinal tumours and their treatment, the mechanism is likely a direct weakening of the airway wall. [cmaj.ca]

You will probably see some improvements in your symptoms soon after treatment. Pneumopericardium caused by a sudden trauma has a faster recovery time if you received prompt treatment. [healthline.com]

Prognosis

T/NK cell lymphomas show aggressive and invasive clinical progression, with a poor prognosis. Without treatment, survival is measured in months. [ncbi.nlm.nih.gov]

Thirty-three per cent of the fatalities were related to PPC; however, the long-term prognosis is probably more closely related to the severity of underlying lung disease or other complications than to PPC. Article History Published in print: 1982 [pubs.rsna.org]

The appearance is similar to pneumomediastinum, but may be differentiated by the following features; heart remains obscured throughout the cardiac cycle involves the subxiphoid window characteristically spared in pneumomediastinum 4 Treatment and prognosis [radiopaedia.org]

[…] absence of tension then, in general, treatment is aimed at the specific cause if signs of tamponade develop then urgent pericardiocentesis is required a pericardial catheter should be left in place in order to prevent the development of further tension Prognosis [gpnotebook.co.uk]

Without prompt evacuation of the pericardial air, prognosis is poor. [journals.lww.com]

Etiology

The underlying etiology should be sought so that treatment can be expedited. Pneumopericardium may result from traumatic and nontraumatic etiologies. [ncbi.nlm.nih.gov]

Of these 21 patients with simultaneous pneumomediastinum, eight patients had associated pneumopericardium; five patients with pneumopericardium had blunt chest trauma as etiology and three patients had penetrating trauma as etiology for pneumopericardium [ijsronline.net]

Etiology Underlying causes include: positive pressure ventilation thoracic surgery/pericardial fluid drainage penetrating trauma blunt trauma (rare) infectious pericarditis with gas-producing organisms fistula between the pericardium and an adjacent air-containing [radiopaedia.org]

Chapter: Chest Subchapter: Mediastinum, Heart & Vessels ( Read entire chapter ) Diagnosis: Pneumomediastinum / Pneumopericardium - introduction Pneumomediastinum/Pneumopericardium Etiology is multifactorial: · Blunt force or penetrating chest trauma · [radiologytutorials.com]

Epidemiology

We aimed to further clarify the epidemiological and clinical characteristics of 2019-nCoV pneumonia. [scienceopen.com]

Pèntek Z, Bakó B, Szentgáli G, Tabár L, Balogh J, Szarka J: Mammographic screening for breast cancer in a rural population preselected via physical examination and epidemiologic questionnaire. Röntgenblätter, 1978;31:173. [mammographyed.com]

Pathophysiology

Its radiographic appearance on anteroposterior films of the supine infant may be confused with pneumomediastinum or pneumothorax so that knowledge of the relevant fascial layers is necessary for an understanding of the pathophysiology and allows proper [pediatrics.aappublications.org]

[citation needed] Pathophysiology[edit] The mechanism responsible for pneumopericardium is the ‘Macklin effect’ – There is initially an increased pressure gradient between the alveoli and the interstitial space. [en.wikipedia.org]

The pathophysiology was demonstrated by Macklin in animal studies 4 ). [kjim.org]

Prevention

In most cases the air will resorb without active management but if a tension pneumopericardium develops urgent drainage is required to prevent cardiovascular compromise and death. [degruyter.com]

Cardiac tamponade was prevented by timely aspiration of the pericardial effusion. [austinpublishinggroup.com]

Management: Seek expert advice. in the absence of tension then, in general, treatment is aimed at the specific cause if signs of tamponade develop then urgent pericardiocentesis is required a pericardial catheter should be left in place in order to prevent [gpnotebook.co.uk]

Fracture of tracheostomy tubes-pathogenesis and prevention. J Laryngol Otol 1983;97:771-4. [ PUBMED ] 3. Kohli GS, Yadav SP, Sharma RC, Raj B, Chawla RK. Tracheostomy tubes-presenting as foreign bodies in the tracheobronchial tree. [laryngologyandvoice.org]

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