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Summary
Three cases of pneumopericardium following blunt chest injury are presented. All three
patients were victims of road traffic accidents and were managed at the University
College Hospital, Ibadan, Nigeria.
One of the patients had a tension pneumopericardium, which was relieved by pericardiocentesis.
The other two patients had only small amounts of pericardial air, which was absorbed
after about 1 week. All three patients had multiple chest and associated injuries.
The suspected mechanism of the pneumopericardium in the three patients is pleuropericardial
rupture in the presence of an intrathoracic air leak.
This is the first report of pneumopericardium following blunt injury of the chest
in Nigeria. Only 16 previous cases have been reported in the world literature.
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References
- Pericardial rupture from blunt chest trauma.Thorax. 1974; 29: 329
- Pneumopericardium following closed chest injury: a report of two cases.Injury. 1973; 4: 221
- Air tamponade and tension pneumopericardium: an unusual complication of subtotal pericardiectomy.J. Thorac. Cardiovasc. Surg. 1974; 68: 328
- Pneumopericardium associated with tracheal rupture: management of a case complicated by the shock lung syndrome.Anaesthesia. 1975; 30: 199
- Tension pneumopericardium following assisted ventilation in hyaline membrane disease.Radiology. 1973; 106: 175
- Hydropneumopericardium.JAMA. 1931; 96: 187
- Spontaneous pneumopericardium in acute asthma.Chest. 1972; 62: 118
- Pneumopericardium and tension pneumopericardium after closed chest injury.Thorax. 1977; 32: 91
Article info
Publication history
Accepted:
April 25,
1985
Identification
Copyright
© 1986 John Wright & Sons Ltd. All rights reserved. Published by Elsevier Inc.
