Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis
Pneumopericardium is a rare complication of pericardiocentesis (PC), occurring as a result of either a direct pleuropericardial communication or a leaky drainage system. Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension p...
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| Veröffentlicht in: | BMJ case reports 2020-11, Vol.13 (11), p.e236308 |
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| creator | Palma, Andreia Henriques, Claudio Silva, Patrícia Vaz Pires, António |
| description | Pneumopericardium is a rare complication of pericardiocentesis (PC), occurring as a result of either a direct pleuropericardial communication or a leaky drainage system. Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension pneumopericardium, which requires immediate recognition and management. PC has been associated with pneumothorax, pneumomediastinum or subcutaneous emphysema, but the association with pleural effusion has been less reported. The authors present the case of a 14-year-old healthy boy who developed post-PC pneumopericardium and pleural effusion, a rare association reported in the literature. The diagnosis of this potential life-threatening event was made using readily available complementary diagnostic methods, such as transthoracic echocardiography and chest X-ray. |
| doi_str_mv | 10.1136/bcr-2020-236308 |
| format | Article |
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Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension pneumopericardium, which requires immediate recognition and management. PC has been associated with pneumothorax, pneumomediastinum or subcutaneous emphysema, but the association with pleural effusion has been less reported. The authors present the case of a 14-year-old healthy boy who developed post-PC pneumopericardium and pleural effusion, a rare association reported in the literature. The diagnosis of this potential life-threatening event was made using readily available complementary diagnostic methods, such as transthoracic echocardiography and chest X-ray.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-236308</identifier><identifier>PMID: 33148574</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; air leaks ; Blood ; Case reports ; Echocardiography ; Exudates and Transudates ; Humans ; Male ; paediatric intensive care ; Pediatrics ; pericardial disease ; Pericardiocentesis - adverse effects ; Pleural effusion ; Pleural Effusion - diagnosis ; Pleural Effusion - etiology ; Pneumopericardium - diagnosis ; Pneumopericardium - etiology ; Pneumothorax ; Postoperative Complications ; Proteins ; Pulmonary arteries ; Tomography, X-Ray Computed ; Ultrasonic imaging ; Unusual Association of Diseases/Symptoms</subject><ispartof>BMJ case reports, 2020-11, Vol.13 (11), p.e236308</ispartof><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b446t-3dac94895a1351fe8877ea1a6add8916ea2f3a4900aa8ea4e4472ddeed81fa983</cites><orcidid>0000-0002-4231-5647</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640467/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640467/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33148574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palma, Andreia</creatorcontrib><creatorcontrib>Henriques, Claudio</creatorcontrib><creatorcontrib>Silva, Patrícia Vaz</creatorcontrib><creatorcontrib>Pires, António</creatorcontrib><title>Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>Pneumopericardium is a rare complication of pericardiocentesis (PC), occurring as a result of either a direct pleuropericardial communication or a leaky drainage system. Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension pneumopericardium, which requires immediate recognition and management. PC has been associated with pneumothorax, pneumomediastinum or subcutaneous emphysema, but the association with pleural effusion has been less reported. The authors present the case of a 14-year-old healthy boy who developed post-PC pneumopericardium and pleural effusion, a rare association reported in the literature. The diagnosis of this potential life-threatening event was made using readily available complementary diagnostic methods, such as transthoracic echocardiography and chest X-ray.</description><subject>Adolescent</subject><subject>air leaks</subject><subject>Blood</subject><subject>Case reports</subject><subject>Echocardiography</subject><subject>Exudates and Transudates</subject><subject>Humans</subject><subject>Male</subject><subject>paediatric intensive care</subject><subject>Pediatrics</subject><subject>pericardial disease</subject><subject>Pericardiocentesis - adverse effects</subject><subject>Pleural effusion</subject><subject>Pleural Effusion - diagnosis</subject><subject>Pleural Effusion - etiology</subject><subject>Pneumopericardium - diagnosis</subject><subject>Pneumopericardium - etiology</subject><subject>Pneumothorax</subject><subject>Postoperative Complications</subject><subject>Proteins</subject><subject>Pulmonary arteries</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonic imaging</subject><subject>Unusual Association of Diseases/Symptoms</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1r3DAQxUVJyIbNnnMLgl5CgxPJki25h0AI-YJAe2ihh4KYtcaJFttyJTvQ_z5aNtkmhUJ10SD95s0bHiGHnJ1yLsqzZR2ynOUsy0UpmP5A9rkqVKYq9mPnTT0jixhXLB3BpZZij8zEuiqU3Cc_v_Y4dX7A4GoI1k0dhd7SocUpQEuxaabofP-ZAg0QkNa-G9qEjumR-oYOgNbBmLrpVsPX2I8YXTwguw20ERcv95x8v776dnmb3X-5ubu8uM-WUpZjJizUldRVAVwUvEGtlULgUIK1uuIlQt4IkBVjABpBopQqtxbRat5ApcWcnG90h2nZoV2PT-bNEFwH4bfx4Mz7n949mgf_ZFQpmSxVEjh-EQj-14RxNJ2LNbYt9OinaHJZqKpUyUtCP_6FrvwU-rSeyQueK5Y0i0Sdbag6-BgDNlsznJl1eCaFZ9bhmU14qePo7Q5b_jWqBHzaAMtu9R9qJ3_grcF_0c-JY7I_</recordid><startdate>20201103</startdate><enddate>20201103</enddate><creator>Palma, Andreia</creator><creator>Henriques, Claudio</creator><creator>Silva, Patrícia Vaz</creator><creator>Pires, António</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4231-5647</orcidid></search><sort><creationdate>20201103</creationdate><title>Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis</title><author>Palma, Andreia ; Henriques, Claudio ; Silva, Patrícia Vaz ; Pires, António</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b446t-3dac94895a1351fe8877ea1a6add8916ea2f3a4900aa8ea4e4472ddeed81fa983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>air leaks</topic><topic>Blood</topic><topic>Case reports</topic><topic>Echocardiography</topic><topic>Exudates and Transudates</topic><topic>Humans</topic><topic>Male</topic><topic>paediatric intensive care</topic><topic>Pediatrics</topic><topic>pericardial disease</topic><topic>Pericardiocentesis - adverse effects</topic><topic>Pleural effusion</topic><topic>Pleural Effusion - diagnosis</topic><topic>Pleural Effusion - etiology</topic><topic>Pneumopericardium - diagnosis</topic><topic>Pneumopericardium - etiology</topic><topic>Pneumothorax</topic><topic>Postoperative Complications</topic><topic>Proteins</topic><topic>Pulmonary arteries</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasonic imaging</topic><topic>Unusual Association of Diseases/Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palma, Andreia</creatorcontrib><creatorcontrib>Henriques, Claudio</creatorcontrib><creatorcontrib>Silva, Patrícia Vaz</creatorcontrib><creatorcontrib>Pires, António</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palma, Andreia</au><au>Henriques, Claudio</au><au>Silva, Patrícia Vaz</au><au>Pires, António</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis</atitle><jtitle>BMJ case reports</jtitle><stitle>BMJ Case Rep</stitle><addtitle>BMJ Case Rep</addtitle><date>2020-11-03</date><risdate>2020</risdate><volume>13</volume><issue>11</issue><spage>e236308</spage><pages>e236308-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Pneumopericardium is a rare complication of pericardiocentesis (PC), occurring as a result of either a direct pleuropericardial communication or a leaky drainage system. Pneumopericardium is often self-limiting; however, physicians should be aware of this complication as it may progress to tension pneumopericardium, which requires immediate recognition and management. PC has been associated with pneumothorax, pneumomediastinum or subcutaneous emphysema, but the association with pleural effusion has been less reported. The authors present the case of a 14-year-old healthy boy who developed post-PC pneumopericardium and pleural effusion, a rare association reported in the literature. The diagnosis of this potential life-threatening event was made using readily available complementary diagnostic methods, such as transthoracic echocardiography and chest X-ray.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>33148574</pmid><doi>10.1136/bcr-2020-236308</doi><orcidid>https://orcid.org/0000-0002-4231-5647</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent air leaks Blood Case reports Echocardiography Exudates and Transudates Humans Male paediatric intensive care Pediatrics pericardial disease Pericardiocentesis - adverse effects Pleural effusion Pleural Effusion - diagnosis Pleural Effusion - etiology Pneumopericardium - diagnosis Pneumopericardium - etiology Pneumothorax Postoperative Complications Proteins Pulmonary arteries Tomography, X-Ray Computed Ultrasonic imaging Unusual Association of Diseases/Symptoms |
| title | Pneumopericardium and pleural effusion: a rare complication of paediatric pericardiocentesis |
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