Pneumopericardium: A Rare Complication of Pericardiocentesis
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Pneumopericardium is defined by the presence of air in the pericardial cavity. It is a rare entity occurring most commonly aftertrauma. Pneumopericardium resulting after pericardiocentesis is even rarer. We report a case of 46-year-old man, with end-stagerenal disease on chronic hemodialysis and who developed a large circumferential pericardial effusion of 40 mm in diastole withswinging heart and diastolic right atrium collapse requiring pericardiocentesis. Few days after, the patient complained of pleuriticchest pain and echocardiogram revealed several tiny sparkling echogenic spots swirling in the pericardial sac. Computed tomographyscans revealed a marked anterior pneumopericardium that was conservatively managed.
Abstract
Pneumopericardium is defined by the presence of air in the pericardial cavity. It is a rare entity occurring most commonly aftertrauma. Pneumopericardium resulting after pericardiocentesis is even rarer. We report a case of 46-year-old man, with end-stagerenal disease on chronic hemodialysis and who developed a large circumferential pericardial effusion of 40 mm in diastole withswinging heart and diastolic right atrium collapse requiring pericardiocentesis. Few days after, the patient complained of pleuriticchest pain and echocardiogram revealed several tiny sparkling echogenic spots swirling in the pericardial sac. Computed tomographyscans revealed a marked anterior pneumopericardium that was conservatively managed.
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