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Posttraumatic pneumopericardium and bilateral pneumothorax/Travma sonrasy gelisen pnomoperikardiyum ve bilateral pnomotoraks.

A 38-year-old man presented with dyspnea and massive subcutaneous crepitation after a traffic accident. Chest computed tomography (CT-scan) showed pneumopericardium, bilateral pneumothorax 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 and echocardiography were normal. Fiberoptic esophagoscopy and bronchoscopy 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.



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 Cerrahisi Klinigi, Ankara, Turkey E-mail:
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Title Annotation:Original Images/Orijinal Goruntuler
Author:Yazkan, Rasih; Ozpolat, Berkant; Duzgun, Ali Cemal; Dogan, Suheyla
Publication:The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
Article Type:Brief article
Geographic Code:7TURK
Date:Apr 1, 2008
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