Cocaine-Induced Pneumopericardium

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Cocaine-induced pneumopericardium.

A20-year-old man without past medical history was admitted for diffuse left-sided and retrosternal chest pain after he was “told and forced to swallow crystal rocks.” He denied any prior symptomatology and denied cough. In the emergency department, he had a normal physical examination and laboratory studies. The ECG, however, showed diffuse ST-segment elevations (Figure 1). He was admitted to t...

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[Pneumopericardium and pneumomediastinum in a diabetic and cocaine user patient].

Pneumopericardium and pneumomediastinum are uncommon and potentially serious conditions. In adults, most cases are iatrogenic in origin, caused by surgical or endoscopic procedures, or mechanical ventilation. A case related to coronary angioplasty has even been reported. Chest trauma, both open and closed, is another common cause. They have also been reported in connection with other less commo...

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Mucor and Rhizopus cause life-threatening infections primarily involving the lungs and sinuses, which disseminate very rapidly by necrosis and infarction of the contiguous tissues. We present a case of a 64-year-old African American posttransplant patient who presented with a productive cough and weight loss. He had a past surgical history of renal transplant for renal cell carcinoma and was on...

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Tension Pneumopericardium after Pericardiocentesis.

Pneumopericardium is defined as the presence of air inside the pericardial space. Usually, it is reported as a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported. Pneumopericardium is relatively stable if it does not generate a tension effect on the heart. However, it may progress to tension pneumopericardium, which requires immediate...

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Pneumopericardium complicating pneumothorax therapy.

While complete absence of the pericardium is a very rare abnormality, which is sometimes found during a post-mortem examination, we believe that partial deficiency resulting in a pleuropericardial communication is probably not quite as uncommon as the meagre literature on the subject would indicate. Powell in 1869 first recorded a case of partial deficiency of the pericardium. In 1925 Moore fou...

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ژورنال

عنوان ژورنال: Circulation

سال: 2000

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.102.22.2792