Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

A Case Report of Tension Pneumopericardium Following Blunt Chest Trauma

흉부둔상에 의한 긴장성 심막기종 1예 체험

  • Sohn, Sang-Tae (Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation) ;
  • Kim, Eung-Soo (Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation) ;
  • Kang, Jong-Yeol (Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation) ;
  • Song, Dong-Seop (Department of Thoracic and Cardiovascular Surgery, Sanbon Hospital, Wonkwang University)
  • 손상태 (한전의료재단 한일병원 흉부외과) ;
  • 김응수 (한전의료재단 한일병원 흉부외과) ;
  • 강종렬 (한전의료재단 한일병원 흉부외과) ;
  • 송동섭 (원광대학교 산본병원 흉부외과)
  • Published : 2009.12.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 49-year-old man visited our hospital via the emergency room. He had suffered chest trauma by falling down. His chest X-Ray showed pneumomediastinum with pneumopericardium. We checked the Chest CT, and it showed pneumopericardium without any injury to the other organs, the compressed heart and a minimal pneumothorax on the left hemithorax. Closed thoracostomy was then done under local anesthesia. We then performed open pericardiostomy under general anesthesia. We got a good result and so we report on this case.

남자 49세 환자는 낙상으로 흉부 둔상을 당해 본원 응급센터로 내원한 분으로 단순 흉부 사진상 종격동 기종 및 심낭기종 소견을 보였다. 이에 흉부 컴퓨터 단층 촬영을 하였으며 타 장기 손상이 없는 심낭기종 소견과, 심장을 압박하는 양상이었다. 또한 좌측에 경도의 기흉 소견이 보였다. 국소 마취하에 좌측 폐쇄 흉강 삽관술을 시행하였으며, 전신 마취하에 소절개하여 개방성 심낭막개창술 및 삽관술을 시행하여 좋은 결과를 얻었기에 보고하는 바이다.

Keywords

References

  1. Haan JM, Scalea TM. Tension pneumopericardium: a case report and a review of the literature. Am Surg 2006;72: 330-1
  2. Su Q, Feng Z, Li T, Jin T. Tension pneumopericardium leads to cardiac tamponade during hand-assisted ventilation in patients with uremia. J Thorac Cardiovasc Surg 2008;135: 432-3 https://doi.org/10.1016/j.jtcvs.2007.10.023
  3. Wayne JF, Guary A, Nancy AA. pneumopericardium and pneumomediastiinum in an after blunt chest trauma. Tex Heart Inst J 2003;30:338-9
  4. Kim OG. A case of the pneumopericardium following blunt chest trauma. Korean J Thorac Cardiovasc Surg 2003;36: 627-9
  5. Son KH, Kim YS, Baek WK, et al. Neonatal tension pneumopericardium. Korean J Thorac Cardiovasc Surg 2004;37: 464-6
  6. Osman TD, Hasan O, Birol Y. Tension pneumopericardium in chest truma with gunshot wound. TJTES Ulus Travma Derg 2003;9:304-6
  7. Levin S, Maldonado I, Rehm C, Ross S, Weiss RL. Cardiac tamponade without pericardial effusion after blunt chest trauma. Am Heart J 1996;131:198-200 https://doi.org/10.1016/S0002-8703(96)90072-1