Article Data

  • Views 1442
  • Dowloads 104

Case Report

Open Access

Asymptomatic pneumopericardium after blunt chest trauma 

  • DUBRAVKA BARTOLEK HAMP1
  • SREĆKO LJUBIČIĆ1
  • INGRID PRKAČIN2
  • GORDANA CAVRIĆ2

1Department of Anaesthesiology and Critical Care Unit, General Hospital Dubrovnik

2Department of Internal Medicine and Intensive Care Unit, Clinic Hospital Mercur Zagreb, Croatia

DOI: 10.22514/SV101.062015.23 Vol.10,Issue S1,June 2015 pp.77-78

Published: 22 June 2015

*Corresponding Author(s): DUBRAVKA BARTOLEK HAMP E-mail: dbartolekh@gmail.com

Abstract

A 49-year-old man was admitted to the emergency room after a fall from a height of 4 m. He was conscious with intact neu-rological status and stabile vital function. Blunt chest trauma was presented with left side rib fractures (3-6), ipsilateral lung base contusion, pneumo-liqidothorax, pneu-momediastinum and subcutaneus emphy-sema. A computed tomographic scan also confirmed pneumopericardium. Negative Hamman’s sign were presented. Although the patient had no symptoms, the presence of pneumopericardium might be a sign of severe injury and indicates the poten-tial risk of cardiac tamponade and a life-threatening condition. In the presence of pneumopericardium, cardiac tamponade could be triggered secondary by mechani-cal ventilation support. In our case report, we would like to stress the importance of early diagnostic of asympthomatic pneu-mopericardium after blunt chest trauma, which may be decisive in choosing the op-timal therapeutic procedure. 

Keywords

Pneumopericardium; Tension pneumopericardium; Blunt trauma; Pneu-momediastinum

Cite and Share

DUBRAVKA BARTOLEK HAMP,SREĆKO LJUBIČIĆ,INGRID PRKAČIN,GORDANA CAVRIĆ. Asymptomatic pneumopericardium after blunt chest trauma . Signa Vitae. 2015. 10(S1);77-78.

References

1. Segers P, Van Schil P, Jorens P et al. Thoracic trauma: an analysis of 187 patients. Acta Chir Belg. 2001;101:277-82

2. O’Connor JV, Scalea TM. Tension pneumopericardium after blunt thoracic trauma. Ann Thorac Surg. 2010;90(5):1713.

3. Zakynthinos E, Karetsi E, Diakaki C. Pneumopericardium after blunt chest trauma: mechanical ventilation with positive pressure must be avoided. Int J Cardiol.2008;124:e8-10.

4. Ladurner R, Qvick LM, Hohenbleicher F, Hallfeld KK, Mutschler w, Messack T. Pneumopericardium in blunt chest trauma after high-speed motor vehicle accidents. Am J Emerg Med 2005;23:83-6.

5. Macklin CC. Transport of air along sheats of pulmonic blood vessels from alveoli to mediastinum: clinical implication. Arch Intern Med. 1939;64:913-926.

6. Maurer M, Mendez FL, Finklestein M, Lewis R. Cardiovascular dynamics in pneumopericardium and hydropneumopericardium. Angiology 1958;9:176.

7. Stacey S, Green AW, Best RA. A case of spontaneous tension pneumopericardium. Br J Cardiol. 2004;11(4):312-314.

8. Gorecki PJ, Andrei VE, Schein M. Tension pneumopericardium in chest trauma. J Trauma. 1999;46:954-6.

9. Capizzi PJ, Martin M, Bannon MP. Tension pneumopericardium following blunt injury. J Trauma. 1995;39:775-80.

10. Roth TC, Schmid RA. Pneumopericardium after blunt chest trauma: a sign of severe injugy? J Thoracic Cardiovasc Sur 2002;124:630-631.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top