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J Korean Soc Emerg Med > Volume 12(3); 2001 > Article
Journal of The Korean Society of Emergency Medicine 2001;12(3): 354-358.
Spontaneous Pneumopericardium: A case Report
Ji Young Ahn, Sang Lae Lee, Seung Hun Ahn, Seok Yong Ryu, Hong Yong Kim
Department of Emergency Medicine, Sanggye Paik Hospital, Seoul, Korea. emnature@lycos.co.kr
ABSTRACT
Pneumopericardium, as a form of barotrauma, refers to the presence of air within the pericardial sac. The causes of pneumopericardium are various. Clinically, pneumopericardium is typically present with dyspnea and precordial chest pain. On physical examination, heart sounds are usually distant, and precordial tympany may be elicited. The diagnosis can be made by clinical and radiographic findings. Management of pneumopericardium depends on many factors, such as the age of the patient, the suspected causes, and the extent of clinically observed respiratory compromise. The case shown here, a patient who developed pneumopericardium, involved an associated underlying pulmonary parenchymal process as the cause of pneumopericardium.
Key words: Pneumopericardium
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