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Case Report

Open Access

Asymptomatic pneumopericardium after blunt chest trauma 


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:


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. 


Pneumopericardium; Tension pneumopericardium; Blunt trauma; Pneu-momediastinum

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


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