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A Case of the Pneumopericardium Following Blunt Chest Trauma

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흉부둔상에 의한 심막기종: 치험 1예

A Case of the Pneumopericardium Following Blunt Chest Trauma

The pneumopericardium following blunt chest trauma is exceedingly unusual. A patient was admitted to the emergency room after a motorcycle accident. Pneumopericardium and left pneumothorax were not detected on initial chest AP, but they were detected on chest computed tomograpy and resolved completely after chest tube insertion into the left pleural space.

(Korean J Thorac Cardiovasc Surg 2003;36:627-629) Key words: 1. Blunt trauma

2. Chest trauma 3. Pneumomediastinum

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Fig. 1. Initail chest AP demonstrates left multiple ribs fractures, increased hazziness of left lung field. Pneumopericardium was not seen in this initial simple X-ray.

Fig. 2. Axial CT at mid-thoracic level confirmed pneumoperi- cardium. A left minimal pneumothorax and contusion are also present.

Fig. 3. ECG shows ST elevation in V2-V5.

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Fig. 2. Axial CT at mid-thoracic level confirmed pneumoperi- pneumoperi-cardium. A left minimal pneumothorax and contusion are also present.

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