Cardiac A-lines in fast scan as a sign of pneumopericardium
| Autor: | Elisa A. Eddie, Julina Md Noor |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty lcsh:R895-920 Fast scanning Case Report Pneumopericardium Pericardial effusion Trauma 03 medical and health sciences 0302 clinical medicine Blunt Ultrasound medicine Radiology Nuclear Medicine and imaging Radiological and Ultrasound Technology medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Interventional radiology medicine.disease 030228 respiratory system Pneumothorax Radiology business Cardiac Free fluid |
| Zdroj: | The ultrasound journal The Ultrasound Journal, Vol 11, Iss 1, Pp 1-3 (2019) |
| ISSN: | 2524-8987 |
| Popis: | Background Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may suggest pneumopericardium. Case presentation A young man involved in a car accident and sustained blunt thoracic injuries, among others. As part of primary survey, FAST scan was performed. Subxiphoid view to look for evidence of pericardial effusion showed part of the cardiac image obscured by A-lines. Other cardiac windows showed only A-lines, as well. A suspicion of pneumopericardium was raised and CT scan confirmed the diagnosis. Conclusions Although FAST scan was originally used to look for presence of free fluid, with the knowledge of lung ultrasound for pneumothorax, our findings suggest that FAST scan can also be used to detect pneumopericardium. |
| Databáze: | OpenAIRE |
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