A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis
Joint Authors
Obillos, Stephanie Martha O.
Magno, Jose Donato A.
Abrahan IV, Lauro L.
Aherrera, Jaime Alfonso M.
Uy-Agbayani, Celia Catherine C.
Gopez, Ulysses King G.
Baldonado, Jobelle Joyce Anne R.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A 28-year-old Filipino male was admitted due to high-grade fevers and dyspnea on a background of chronic cough and weight loss.
Due to clinical and echocardiographic signs of cardiac tamponade, emergency pericardiocentesis was performed on his first hospital day.
Five days after, chest radiographs showed new pockets of radiolucency within the cardiac shadow, indicative of pneumopericardium.
On repeat echo, air microbubbles admixed with loculated effusion were visualized in the anterior pericardial space.
Constrictive physiology was also supported by a thickened pericardium, septal bounce, exaggerated respiratory variation in AV valve inflow, and IVC plethora.
A chest CT scan confirmed the presence of an air-fluid level within the pericardial sac.
The patient was started on a quadruple antituberculosis regimen and IV piperacillin-tazobactam to cover for superimposed acute bacterial pericarditis.
Pericardiectomy was performed as definitive management, with stripped pericardium measuring 5–7 mm thick and caseous material extracted from the pericardial sac.
Histopathology was consistent with tuberculosis.
This report highlights pneumopericardium as a rare complication of pericardiocentesis.
We focused on the utility of echocardiography for diagnosing and monitoring this condition on a background of tuberculous constrictive pericarditis, ultimately convincing us that pericardiectomy was necessary, instead of the usual conservative measures for pneumopericardium.
American Psychological Association (APA)
Abrahan IV, Lauro L.& Obillos, Stephanie Martha O.& Aherrera, Jaime Alfonso M.& Magno, Jose Donato A.& Uy-Agbayani, Celia Catherine C.& Gopez, Ulysses King G.…[et al.]. 2017. A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1144034
Modern Language Association (MLA)
Abrahan IV, Lauro L.…[et al.]. A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis. Case Reports in Cardiology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1144034
American Medical Association (AMA)
Abrahan IV, Lauro L.& Obillos, Stephanie Martha O.& Aherrera, Jaime Alfonso M.& Magno, Jose Donato A.& Uy-Agbayani, Celia Catherine C.& Gopez, Ulysses King G.…[et al.]. A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1144034
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144034