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Global Pediatric Health 2022A preadolescent female presented to the emergency department with an acute asthma exacerbation. Chest radiograph and computed tomography scan showed extensive...
A preadolescent female presented to the emergency department with an acute asthma exacerbation. Chest radiograph and computed tomography scan showed extensive pneumomediastinum with a small pneumopericardium without a distinct source for this air leak. The patient was admitted for noninvasive monitoring, analgesia, and high concentration oxygen. Serial chest radiographs showed marked improvement following high concentration oxygen, and she was discharged on hospital day 3. Spontaneous pneumomediastinum and pneumopericardium are rare complications of asthma that can often be managed conservatively but should be considered on the differential for this patient population, and may be a complication of COVID-19.
PubMed: 35664046
DOI: 10.1177/2333794X221101773 -
Clinical Endoscopy Jan 2022The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the... (Review)
Review
The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review.
PubMed: 34974678
DOI: 10.5946/ce.2021.236 -
Clinical Case Reports Dec 2021Late-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or...
Late-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or Pericardioesophageal fistula. If the diagnosis is delayed, mortality will be inevitable.
PubMed: 34938539
DOI: 10.1002/ccr3.4844 -
Bulletin of Emergency and Trauma Oct 2016
PubMed: 27878134
DOI: No ID Found -
Revista Portuguesa de Cardiologia :... Oct 2022
Topics: Carcinoma, Squamous Cell; Epithelial Cells; Humans; Lung; Lung Neoplasms; Pneumopericardium; Tomography, X-Ray Computed
PubMed: 36150943
DOI: 10.1016/j.repc.2021.09.017 -
CMAJ : Canadian Medical Association... May 2023
Topics: Humans; Pneumopericardium; Pericardium
PubMed: 37220925
DOI: 10.1503/cmaj.221137-f -
Lakartidningen Jan 2018A previously healthy 21-year old man presented to the emergency department with sudden onset central chest pain exacerbated by breathing. A plain chest X-ray showed air...
A previously healthy 21-year old man presented to the emergency department with sudden onset central chest pain exacerbated by breathing. A plain chest X-ray showed air within the mediastinum and pericardium confirmed by a CT scan with contrast. The patient history did not raise suspicion of any concomitant disease and the diagnosis of spontaneous pneumomediastinum with pneumopericardium was made. The patient recovered completely over the next few days with bed rest and analgesics. Spontaneous pneumomediastinum is an uncommon disease caused by rupture of perivascular alveoli causing air leakage to the mediastinum. The condition is benign and self-resolving in most cases. Pneumopericardium, a rare complication to spontaneous pneumomediastinum, is also usually self-resolving but may cause cardiac tamponade requiring intervention. Spontaneous pneumomediastinum must be differentiated from secondary pneumomediastinum caused by an underlying condition, such as esofageal rupture, trauma or infection, which may require specific treatment.
Topics: Acute Pain; Algorithms; Chest Pain; Humans; Male; Mediastinal Emphysema; Pneumopericardium; Radiography; Tomography, X-Ray Computed; Young Adult
PubMed: 29319833
DOI: No ID Found -
Cureus Oct 2022There is an emerging body of literature describing an increasing incidence of pneumomediastinum and, to a lesser extent, pneumopericardium as a complication of COVID-19.... (Review)
Review
There is an emerging body of literature describing an increasing incidence of pneumomediastinum and, to a lesser extent, pneumopericardium as a complication of COVID-19. However, the literature lacks information regarding patients' characteristics and a general view of this unusual condition. The purpose of this paper is to summarize the current literature on this phenomenon. In this study, we summarize the risk factors/etiology, imaging modalities, management, and prognosis of known cases in the literature. In total, 48 articles were included in the study, ranging from case reports to case series. Most patients were male (83.3%). The overall mortality rate was 27.1% and the recovery rate was 62.5%.
PubMed: 36381752
DOI: 10.7759/cureus.30244 -
Thorax Aug 1976Spontaneous pneumopericardium is a relatively rare event, although cases have been recorded over the past 130 years. Many were associated with malignancy, trauma,...
Spontaneous pneumopericardium is a relatively rare event, although cases have been recorded over the past 130 years. Many were associated with malignancy, trauma, infection or as a complication of recent surgery. Attempts at surgical resolution have been infrequent and survival extremely rare. We describe a patient in whom pneumopericardium developed spontaneously and insidiously, probably being present for some weeks before hospital investigation. Surgical exploration revealed the cause to be a benign gastric ulcer without an hiatus hernia or other diaphragmatic defect. Repair was attempted but the patient died in the early postoperative period. From an extensive review of the literature it is clear that spontaneous perforation of a gastric ulcer into the pericardium must be less rare than some authors have suggested.
Topics: Humans; Male; Middle Aged; Peptic Ulcer Perforation; Pneumopericardium; Radiography; Stomach Ulcer; Tissue Adhesions
PubMed: 968805
DOI: 10.1136/thx.31.4.460