Posttraumatic Pneumopericardium: A Sign of Severe Injury or Radiodiagnostic Rarity?
Vladimír Lonský,
Jiří Manďák,
Jan Harrer,
Martin Tuna,
Petr Dvořák,
Tomáš Dědek,
Jan Dominik
Affiliations
Vladimír Lonský
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Cardiac Surgery, Hradec Králové, Czech Republic
Jiří Manďák
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Cardiac Surgery, Hradec Králové, Czech Republic
Jan Harrer
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Cardiac Surgery, Hradec Králové, Czech Republic
Martin Tuna
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Cardiac Surgery, Hradec Králové, Czech Republic
Petr Dvořák
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Radiology, Hradec Králové, Czech Republic
Tomáš Dědek
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Traumatology, Hradec Králové, Czech Republic
Jan Dominik
Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Departments of Cardiac Surgery, Hradec Králové, Czech Republic
We present three cases of pneumopericardium following blunt chest trauma injury. All three patients were victims of road traffic accidents. All had multiple associated injuries and pneumopericardium was found as the additional finding. Pneumopericardium was treated conservatively with thoracic drains placement and patients observation. Transesophageal echocardiography was used as a method of choice for exclusion of cardiac air tamponade. All three patients survived.