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
, Muhammet Çakas
, Ramazan Kıyak
, Bahadır Çağlar
, Süha Serin
Article Info
Authors
Meliha Fındık
Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey
Muhammet Çakas
Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey
Ramazan Kıyak
Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey
Bahadır Çağlar
Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey
Süha Serin
Department of Emergency Medicine, Balikesir Üniversity Medical Faculty, Balıkesir üniversity, Balikesir, Turkey
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.