Pneumopericardium

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Pneumopericardium
Pneumothorax hemothorax pneumomediastinum contusion.JPG
CT scan showing pneumopericardium with pneumomediastinum, pneumothorax, hemothorax, and pulmonary contusion after severe chest trauma[1]
ICD-10 I31.9, P25.3, S26.8
ICD-9 770.2, 860.1
MeSH D011026

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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Overview

Pneumopericardium is a medical condition where air enters the pericardial cavity and a well-recognized clinical and radiologic entity. [2] It can be congenital, or introduced by a wound.

Differential Diagnosis of Underlying Causes

Diagnosis

Chest X-Ray

  • The heart partially or completely surrounded by air, with the pericardium sharply outlined by air density on either side.
  • Pneumopericardium can usually be distinguished from pneumomediastinum, since air in the pericardial sac should not rise above the anatomic limits of the pericardial reflexion on the proximal great vascular pedicle. Also on radiographs obtained with the patient in the decubitus position, air in the pericardial sac will shift immediately, while air in the mediastinum will not shift in a short interval between films.
  • Occasionally, it may not be possible to distinguish pneumopenicardium from pneumomediastinum on plain film.

Examples

Pneumopericardium


Pneumopericardium


References

  1. Konijn AJ, Egbers PH, Kuiper MA (2008). "Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma: a case report". J Med Case Reports. 2: 100. doi:10.1186/1752-1947-2-100. PMC 2323010. PMID 18394149.
  2. SE Mirvis, M Indeck, RM Schorr, and JN Diaconis. Posttraumatic tension pneumopericardium: the "small heart" sign. Radiology 1986 158: 663-669.

See Also

External Links

Cost Effectiveness of Pneumopericardium

| group5 = Clinical Trials Involving Pneumopericardium | list5 = Ongoing Trials on Pneumopericardium at Clinical Trials.govTrial results on PneumopericardiumClinical Trials on Pneumopericardium at Google


| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Pneumopericardium | list6 = US National Guidelines Clearinghouse on PneumopericardiumNICE Guidance on PneumopericardiumNHS PRODIGY GuidanceFDA on PneumopericardiumCDC on Pneumopericardium


| group7 = Textbook Information on Pneumopericardium | list7 = Books and Textbook Information on Pneumopericardium


| group8 = Pharmacology Resources on Pneumopericardium | list8 = AND (Dose)}} Dosing of PneumopericardiumAND (drug interactions)}} Drug interactions with PneumopericardiumAND (side effects)}} Side effects of PneumopericardiumAND (Allergy)}} Allergic reactions to PneumopericardiumAND (overdose)}} Overdose information on PneumopericardiumAND (carcinogenicity)}} Carcinogenicity information on PneumopericardiumAND (pregnancy)}} Pneumopericardium in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Pneumopericardium


| group9 = Genetics, Pharmacogenomics, and Proteinomics of Pneumopericardium | list9 = AND (pharmacogenomics)}} Genetics of PneumopericardiumAND (pharmacogenomics)}} Pharmacogenomics of PneumopericardiumAND (proteomics)}} Proteomics of Pneumopericardium


| group10 = Newstories on Pneumopericardium | list10 = Pneumopericardium in the newsBe alerted to news on PneumopericardiumNews trends on Pneumopericardium


| group11 = Commentary on Pneumopericardium | list11 = Blogs on Pneumopericardium

| group12 = Patient Resources on Pneumopericardium | list12 = Patient resources on PneumopericardiumDiscussion groups on PneumopericardiumPatient Handouts on PneumopericardiumDirections to Hospitals Treating PneumopericardiumRisk calculators and risk factors for Pneumopericardium


| group13 = Healthcare Provider Resources on Pneumopericardium | list13 = Symptoms of PneumopericardiumCauses & Risk Factors for PneumopericardiumDiagnostic studies for PneumopericardiumTreatment of Pneumopericardium

| group14 = Continuing Medical Education (CME) Programs on Pneumopericardium | list14 = CME Programs on Pneumopericardium

| group15 = International Resources on Pneumopericardium | list15 = Pneumopericardium en EspanolPneumopericardium en Francais

| group16 = Business Resources on Pneumopericardium | list16 = Pneumopericardium in the MarketplacePatents on Pneumopericardium

| group17 = Informatics Resources on Pneumopericardium | list17 = List of terms related to Pneumopericardium


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