Posttraumatic pneumopericardium and bilateral pneumothorax/Travma sonrasy gelisen pnomoperikardiyum ve bilateral pnomotoraks.A 38-year-old man presented with dyspnea and massive subcutaneous crepitation crepitation /crep·i·ta·tion/ (krep?i-ta´shun) a dry sound like that of grating the ends of a fractured bone.crep´itantcrep·i·ta·tion n. 1. after a traffic accident. Chest computed tomography (CT-scan) showed pneumopericardium, bilateral pneumothorax pneumothorax (n  mōthôr`ăks), collapse of a lung with escape of air into the pleural cavity between the lung and the chest wall. The cause may be traumatic (e.g. and massive
subcutaneous emphysema (Fig.1) confirming the same findings as the chest
X-ray, except the poorly visible pneumopericardium. After bilateral
insertion of a chest drain, the patient was transferred to the intensive
care unit. Electrocardiography electrocardiography (ĭlĕk'trōkärdēŏg`rəfē), science of recording and interpreting the electrical activity that precedes and is a measure of the action of heart muscles. and echocardiography Echocardiography DefinitionEchocardiography is a diagnostic test that uses ultrasound waves to create an image of the heart muscle. Ultrasound waves that rebound or echo off the heart can show the size, shape, and movement of the heart's valves and were normal. Fiberoptic esophagoscopy and bronchoscopy Bronchoscopy Definition Bronchoscopy is a procedure in which a cylindrical fiberoptic scope is inserted into the airways. This scope contains a viewing device that allows the visual examination of the lower airways. demonstrated an intact mucosal pattern without any sign of perforation. The patient was uneventfully discharged on the 12th day as a control chest CT-scan showed complete resolution of the pneumopericardium and the bilateral pneumothorax (Fig. 2). In blunt chest trauma bilateral pneumothorax is not uncommon but accompanying pneumopericardium is rarely seen. This case is a good example of the high sensitivity and specificity of chest computed tomography in patients with blunt thoracic trauma. [FIGURE 1 OMITTED] [FIGURE 2 OMITTED] Rasih Yazkan, Berkant Ozpolat, Ali Carnal Duzgun, Suheyla Dogan Clinic of Cardiovascular Surgery, Diskapi Yildirim Beyazit Training and Research Hospital of the Ministry of Public Health, Ankara, Turkey Address for Correspondence/Yazisma Adresi: Dr. Berkant Ozpolat Saglik Bakanligi Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, Kalp Damar Damar: see Dhamar, Yemen. Cerrahisi Klinigi, Ankara, Turkey E-mail: berkantozpolat@yahoo.com |
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