Pneumopericardium: Difference between revisions
| Line 13: | Line 13: | ||
*Esophageal diverticula | *Esophageal diverticula | ||
*[[Barotrauma]] | *[[Barotrauma]] | ||
**Mechanical ventilation | **Mechanical ventilation | ||
**Vigorous bag-mask ventilation | |||
**SCUBA diving/rapid ascent | **SCUBA diving/rapid ascent | ||
**Drug insufflation (especially associated with crack [[cocaine]]) | **Drug insufflation (especially associated with crack [[cocaine]]) | ||
Revision as of 19:11, 8 March 2019
Background
- Air in the pericardium
- Generally secondary to connection between pericardium and pleural cavity, bronchi, or GI tract
- Most often found following trauma, severe asthma exacerbation, strangulation, or forceful drug insufflation
Clinical Features
Differential Diagnosis
Causes of pneumopericardium
- GI malignancy
- PUD
- Esophageal diverticula
- Barotrauma
- Mechanical ventilation
- Vigorous bag-mask ventilation
- SCUBA diving/rapid ascent
- Drug insufflation (especially associated with crack cocaine)
- Asthma
- Valsalva
- Infection pericarditis with gas-producing bacteria
- Thoracic surgery
- Pericardial fluid drainage
- Blast injury
- Blunt or penetrating Thoracic trauma
- Neonatal respiratory distress syndrome