Case Report

Volume: 9 | Issue: 2 | Published: Mar 04, 2025 | Pages: 37 - 40 | DOI: 10.24911/ejmcr.9-1507

Iatrogenic pneumopericardium following therapeutic pericardiocentesis for pericardial effusion in the emergency department - a case report


Authors: Meliha Fındık orcid logo , Muhammet Çakas orcid logo , Ramazan Kıyak orcid logo , Bahadır Çağlar orcid logo , Süha Serin orcid logo


Article Info

Authors

Meliha Fındık

Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey

orcid logo ORCID

Muhammet Çakas

Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey

orcid logo ORCID

Ramazan Kıyak

Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey

orcid logo ORCID

Bahadır Çağlar

Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey

orcid logo ORCID

Süha Serin

Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey

orcid logo ORCID

Publication History

Received: October 30, 2024

Accepted: December 13, 2024

Published: March 04, 2025


Abstract


Background: This case report highlights a rare iatrogenic complication of pericardiocentesis and discusses its clinical management. In most cases, pneumopericardium is usually self-limiting and does not require any specific treatment. Therefore, a timely diagnosis and urgent treatment are required. Currently, there are only a few reports regarding pneumopericardium following therapeutic pericardiocentesis.

Case Presentation: We present a case of an 81-year-old woman who developed pneumopericardium following pericardiocentesis for pericardial effusion, a rare association reported in the literature.

Conclusion: Pneumopericardium may develop iatrogenically after Pericardiocentesis. Attention should be paid to the puncture site and angle during pericardial puncture, especially in weak patients.

 

 


Keywords: pericardial effusion, pericardiocentesis, pneumopericardium, bedside ultrasonography, emergency medicine.