Abstract
Pneumopericardium is the presence of air in the pericardial space. It may be seen in the context with severe blunt chest trauma. Usually, pneumopericardium is self-limiting and requiring no specific therapy. However, a continuous monitoring of the electrocardiography and the blood pressure is necessary at an intermediate care unit. We report a 74 year-old-man had been presented with Pneumopericardium, after a car striking. He had bilateral pneumohematothoraces, pneumomediastinum and bilateral multiple rib fractures. Pneumopericardium was diasappeared without surgical management like written in english literature. Frequent cardiac and vital signs monitoring and general support treatment were successful in our treatment.
References
- Ladurner R, Qvick LM, Hohenbleicher F., et al. Pneumopericardium in blunt chest trauma after high-speed motor vehicle accidents. Am J Emerg Med 2005; 23: 83-86.
- Spodick DH. Pericardial diseases. In: Braunwald E, Zipes DP, Libby P. (Editors). Heart disease: a textbook of cardiovascular medicine. 6th ed. Vol 2. Philadelphia: WB Saunders; 2001. p. 1823-1826.
- Gorecki PJ, Andrei VE, Scehein M. Tension pneumopericardium in chest trauma. J Trauma 1999; 46: 954-956.
- Ordog GJ, Balasubramamium S, Wasserberger J. Outpatient management of 357 gunshot wounds to the chest. J Trauma 1983; 23: 832-835.
- Capizzi PJ, Martin M, Bannon MP. Tension pneumopericardium following blunt chest injury. J Trauma 1995; 39: 775-780.
- Figure 1: Plain PA Chest graphy of the patient. Figure 2: Chest CT of the patient.
Abstract
Pnömoperikardium, pericardial boşlukta hava bulunmasıdır. Ciddi, künt toraks travmalarında oluşabilir. Pnömoperikardium, genellikle kendi kendini sınırlar ve özel bir tedaviye ihtiyaç duyulmaz. Bununla beraber, elektrokardiyografi ve kan basıncının sürekli olarak monitörize edildiği yoğun bakım ünitesinde takibi gerekmektedir. 74 yaş erkek hastada; araç dışı trafik kazası sonrasında oluşan, bilateral hemopnömotoraks, bilateral seri kot fraktürleri, pnömomediastinum’un eşlik ettiği pnömoperikardium vakasını sunmaktayız. Literatür bilgilerine paralel olarak, cerrahi bir girişime gerek kalmadan hastanın pnömoperikardiumu kaybolmuştur. Tedavi protokolü olarak; yakın vital bulgu ve kardiak monitörizasyon takipi altında genel destek tedavisi uygulanmış ve yeterli olmuştur
References
- Ladurner R, Qvick LM, Hohenbleicher F., et al. Pneumopericardium in blunt chest trauma after high-speed motor vehicle accidents. Am J Emerg Med 2005; 23: 83-86.
- Spodick DH. Pericardial diseases. In: Braunwald E, Zipes DP, Libby P. (Editors). Heart disease: a textbook of cardiovascular medicine. 6th ed. Vol 2. Philadelphia: WB Saunders; 2001. p. 1823-1826.
- Gorecki PJ, Andrei VE, Scehein M. Tension pneumopericardium in chest trauma. J Trauma 1999; 46: 954-956.
- Ordog GJ, Balasubramamium S, Wasserberger J. Outpatient management of 357 gunshot wounds to the chest. J Trauma 1983; 23: 832-835.
- Capizzi PJ, Martin M, Bannon MP. Tension pneumopericardium following blunt chest injury. J Trauma 1995; 39: 775-780.
- Figure 1: Plain PA Chest graphy of the patient. Figure 2: Chest CT of the patient.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 1, 2008 |
| Submission Date | March 2, 2015 |
| Published in Issue | Year 2008 Volume: 35 Issue: 4 |