Case Report

Published: Feb 02, 2025

Iatrogenic Pneumopericardium Following Therapeutic Pericardiocentesis For Pericardial Effusion İn The Emergency Department: A Case Report


Authors: assist. prof. meliha fındık orcid logo , muhammet çakas orcid logo , assist. prof. ramazan kıyak orcid logo , assoc. prof bahadır çağlar orcid logo , assoc.prof süha serin orcid logo


Article Info

Authors

assist. prof. 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

assist. prof. ramazan kıyak

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

orcid logo ORCID

assoc. prof bahadır çağlar

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

orcid logo ORCID

assoc.prof 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: February 02, 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, emergency medicine, bedside ultrasonography

What is new: This clinical case analysis aims to summarize the etiology, clinical features, diagnosis, treatment methods, and complications of pneumopericardium to improve understanding of this rare condition.


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