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Pneumopericardium

MedGen UID:
10816
•Concept ID:
C0032319
•
Disease or Syndrome
Synonym: Pneumopericardiums
SNOMED CT: Pneumopericardium (82542004)

Definition

The presence of air in the pericardial cavity. Causes include chest injury in adults, and respiratory distress syndrome in infants. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPneumopericardium

Professional guidelines

PubMed

Management of spontaneous pneumomediastinum in children.
Fitzwater JW, Silva NN, Knight CG, Malvezzi L, Ramos-Irizarry C, Burnweit CA
J Pediatr Surg 2015 Jun;50(6):983-6. Epub 2015 Mar 18 doi: 10.1016/j.jpedsurg.2015.03.024. PMID: 25840604
Pneumopericardium associated with tracheal rupture. Management of a case complicated by the shock lung syndrome.
McCaughey W, King R
Anaesthesia 1975 Mar;30(2):199-205. doi: 10.1111/j.1365-2044.1975.tb00834.x. PMID: 1093430
Pneumopericardium complicating the treatment of respiratory-distress syndrome of the newborn.
Gil-Rodriguez JA, Lewis BW, Savege TM, Sykes EE, Walling PT
Br J Anaesth 1972 Nov;44(11):1219-21. doi: 10.1093/bja/44.11.1219. PMID: 4567094

Recent clinical studies

Etiology

Pneumopericardium following severe thoracic trauma.
Sciarretta JD, Noorbakhsh S, Joung Y, Bailey DW, Freedberg M, Nguyen J, Smith RN, Ayoung-Chee P, Davis MA, Benjamin ER, Todd SR
Injury 2024 May;55(5):111303. Epub 2023 Dec 29 doi: 10.1016/j.injury.2023.111303. PMID: 38218676Free PMC Article
Computed Tomography-Guided Pericardiocentesis: A Practical Guide.
Bafna KR, Kalra-Lall A, Gurajala RK, Karuppasamy K
Curr Cardiol Rep 2023 Nov;25(11):1433-1441. Epub 2023 Oct 19 doi: 10.1007/s11886-023-01965-9. PMID: 37856032
Pneumomediastinum complicating diabetic ketoacidosis.
Zethof S, Borstlap C, Vroomans M, Groenendijk M
BMJ Case Rep 2023 May 3;16(5) doi: 10.1136/bcr-2023-255018. PMID: 37137549Free PMC Article
Giant Pneumopericardium.
Ploenes T, Aigner C
Ann Thorac Surg 2019 Feb;107(2):e145. Epub 2018 Sep 25 doi: 10.1016/j.athoracsur.2018.07.068. PMID: 30266615
Pneumopericardium.
Shivdasani B, Chhabria R, Mehta N
Asian Cardiovasc Thorac Ann 2017 Jul;25(6):476. Epub 2016 May 6 doi: 10.1177/0218492316649295. PMID: 27154339

Diagnosis

Evaluation after Orthotopic Heart Transplant: What the Radiologist Should Know.
Smith JD, Stowell JT, Martínez-Jiménez S, Desouches SL, Rosado-de-Christenson ML, Jain KK, Magalski A
Radiographics 2019 Mar-Apr;39(2):321-343. Epub 2019 Feb 8 doi: 10.1148/rg.2019180141. PMID: 30735469
Giant Pneumopericardium.
Ploenes T, Aigner C
Ann Thorac Surg 2019 Feb;107(2):e145. Epub 2018 Sep 25 doi: 10.1016/j.athoracsur.2018.07.068. PMID: 30266615
Gastropericardial fistula: radiologic findings and literature review.
Davidson JP, Connelly TM, Libove E, Tappouni R
J Surg Res 2016 Jun 1;203(1):174-82. Epub 2016 Mar 15 doi: 10.1016/j.jss.2016.03.015. PMID: 27338548
Pericardial diseases.
Dudzinski DM, Mak GS, Hung JW
Curr Probl Cardiol 2012 Mar;37(3):75-118. doi: 10.1016/j.cpcardiol.2011.10.002. PMID: 22289657
Barotrauma.
Tocino I, Westcott JL
Radiol Clin North Am 1996 Jan;34(1):59-81. PMID: 8539354

Therapy

Computed Tomography-Guided Pericardiocentesis: A Practical Guide.
Bafna KR, Kalra-Lall A, Gurajala RK, Karuppasamy K
Curr Cardiol Rep 2023 Nov;25(11):1433-1441. Epub 2023 Oct 19 doi: 10.1007/s11886-023-01965-9. PMID: 37856032
Apsychia During Colonoscopy.
Luo M, Lei S, Yao H
Gastroenterology 2022 Dec;163(6):e3-e5. Epub 2022 Jun 28 doi: 10.1053/j.gastro.2022.06.061. PMID: 35777479
Giant Pneumopericardium.
Ploenes T, Aigner C
Ann Thorac Surg 2019 Feb;107(2):e145. Epub 2018 Sep 25 doi: 10.1016/j.athoracsur.2018.07.068. PMID: 30266615
Massive pneumopericardium.
Tran V
Can J Anaesth 2017 Nov;64(11):1153-1154. Epub 2017 Aug 9 doi: 10.1007/s12630-017-0924-y. PMID: 28795326
Barotrauma.
Tocino I, Westcott JL
Radiol Clin North Am 1996 Jan;34(1):59-81. PMID: 8539354

Prognosis

Giant Pneumopericardium.
Ploenes T, Aigner C
Ann Thorac Surg 2019 Feb;107(2):e145. Epub 2018 Sep 25 doi: 10.1016/j.athoracsur.2018.07.068. PMID: 30266615
Ectopic air localizations after transanal procedures: A systematic literature review.
Balla A, Quaresima S, Paganini AM
Int J Surg 2018 Aug;56:167-173. Epub 2018 Jun 21 doi: 10.1016/j.ijsu.2018.05.743. PMID: 29936199
Pneumopericardium.
Shivdasani B, Chhabria R, Mehta N
Asian Cardiovasc Thorac Ann 2017 Jul;25(6):476. Epub 2016 May 6 doi: 10.1177/0218492316649295. PMID: 27154339
Pneumopericardium.
Lucarelli K, Troisi F, Langialonga T
Eur Heart J 2010 Aug;31(16):1953. Epub 2010 May 7 doi: 10.1093/eurheartj/ehq144. PMID: 20453065
Pneumopyopericardium.
Stridbeck H, Samuelsson L
Acta Radiol Diagn (Stockh) 1983;24(4):305-8. doi: 10.1177/028418518302400405. PMID: 6356796

Clinical prediction guides

Pneumopericardium following severe thoracic trauma.
Sciarretta JD, Noorbakhsh S, Joung Y, Bailey DW, Freedberg M, Nguyen J, Smith RN, Ayoung-Chee P, Davis MA, Benjamin ER, Todd SR
Injury 2024 May;55(5):111303. Epub 2023 Dec 29 doi: 10.1016/j.injury.2023.111303. PMID: 38218676Free PMC Article
Incidence, clinical associations and outcomes of intrathoracic complications with and without ARDS in COVID-19 pneumonia.
Escalon JG, Toy D, Groner L, Legasto AC, Verzosa Weisman S, Rotman J, Asrani AV, Mahmood SS, Truong QA
Clin Imaging 2022 May;85:106-114. Epub 2022 Mar 4 doi: 10.1016/j.clinimag.2022.02.029. PMID: 35278869Free PMC Article
Comprehensive review of pericardial diseases using different imaging modalities.
Fadl SA, Nasrullah A, Harris A, Edwards R, Kicska G
Int J Cardiovasc Imaging 2020 May;36(5):947-969. Epub 2020 Feb 11 doi: 10.1007/s10554-020-01784-x. PMID: 32048125
Spontaneous Pneumopericardium in a U.S. Marine: Do not Lose Heart.
Sherrier D, Lizardo RE
Mil Med 2020 Mar 2;185(3-4):e518-e521. doi: 10.1093/milmed/usz191. PMID: 31560058
Pneumomediastinum and pneumopericardium following blunt thoracic trauma: much ado about nothing?
Muckart DJJ, Hardcastle TC, Skinner DL
Eur J Trauma Emerg Surg 2019 Oct;45(5):927-931. Epub 2018 Apr 23 doi: 10.1007/s00068-018-0960-5. PMID: 29687275

Recent systematic reviews

A Rare Complication during Vaginal Delivery, Hamman's Syndrome: A Case Report and Systematic Review of Case Reports.
La Verde M, Palmisano A, Iavarone I, Ronsini C, Labriola D, Cianci S, Schettino F, Reginelli A, Riemma G, De Franciscis P
Int J Environ Res Public Health 2022 Apr 12;19(8) doi: 10.3390/ijerph19084618. PMID: 35457486Free PMC Article
Air leak with COVID-19 - A meta-summary.
Nasa P, Juneja D, Jain R
Asian Cardiovasc Thorac Ann 2022 Feb;30(2):237-244. Epub 2021 Jul 11 doi: 10.1177/02184923211031134. PMID: 34247490Free PMC Article
Pneumothorax: a rare complication of colonoscopy. A systematic review of literature.
Crocetti D, Fiori E, Costi U, Tarallo M, De Gori A, Cavallaro G, De Toma G
Ann Ital Chir 2019;90:201-207. PMID: 31354145
Ectopic air localizations after transanal procedures: A systematic literature review.
Balla A, Quaresima S, Paganini AM
Int J Surg 2018 Aug;56:167-173. Epub 2018 Jun 21 doi: 10.1016/j.ijsu.2018.05.743. PMID: 29936199

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