Pneumopericardium

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Background

  • Generally secondary to connection between pericardium and pleural cavity, bronchi, or GI tract

Clinical Features

Differential Diagnosis

Causes of pneumopericardium

  • GI malignancy
  • PUD
  • Esophageal diverticula
  • Barotrauma
    • Mechanical ventilation complication
    • SCUBA diving/rapid ascent
    • Drug inhalation (especially associated with crack cocaine)
  • Asthma
  • Valsalva
  • Drug inhalation
  • Infectious pericarditis with gas-producing bacteria
  • Thoracic surgery
  • Pericardial fluid drainage
  • Blast injury
  • Blunt or penetratic Thoracic trauma
  • Neonatal respiratory distress syndrome

Evaluation

Management

Disposition

See Also

References