Large uncomplicated hydropneumopericardium
| Autor: | Razafimahefa Sh, A.D. Johnson, P. Ramanalimanana, Rakotoarivelo Ra, D. Ranoharison, S Rakotoarimanana |
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| Rok vydání: | 2010 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Radiological and Ultrasound Technology business.industry lcsh:R895-920 medicine.medical_treatment medicine.disease Hemothorax Pericardial effusion Inferior vena cava Surgery Pericarditis medicine.vein Pneumothorax Pericardiocentesis Cardiac tamponade medicine Radiology Nuclear Medicine and imaging Subcutaneous port business |
| Zdroj: | South African Journal of Radiology, Vol 14, Iss 1 (2010) |
| ISSN: | 2078-6778 1027-202X |
| Popis: | A 45-year-old Malagasy man, with a 2-month medical history of chronic pericarditis, presented to the Department of Cardiology at Joseph Raseta Hospital with cardiac tamponade. Pericardiocentesis was performed, with improvement in the patient’s clinical condition, following aspiration of 400 cc of serofibrinous fluid. The control chest X-ray revealed a hydropneumopericardium (Figs 1a and 1b). Following evaluation of the fluid, tuberculosis treatment was started with an adjunctive corticosteroid regimen and resultant complete resolution of all cardiac symptoms. The diagnosis of hydropneumopericardium requires the application of Shackelford criteria which include (i) high-pitched tympanic percussion note, (ii) loud metallic splashing sound synchronous with heart sounds, and (iii) characteristic chest X-ray with an air-fluid level in the pericardial cavity. 1 Traumatic origins of hydropneumopericardium are more common than non-traumatic causes. Non-traumatic causes of hydropneumopericardium include asthma, gastro-pericardic fistula complicating gastric pathology, and infectious disease from illnesses such as pericarditis and pneumonia. Traumatic causes are many and varied, including chest trauma (11%) and iatrogenic causes (74%), particularly those arising after mechanical ventilation, cardiac surgery, and pace-maker implantation. 2 |
| Databáze: | OpenAIRE |
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