introduction the term hydropneumopericardium describes the simultaneous accumulation of fluid and gas in the pericardial sac. this condition is mostly caused by primary infiltrative lesions from the adjacent organs, pericardial infections, or trauma and is a very rare situation, usually with favorable outcomes. case presentation we describe a female patient with lutembacher’s syndrome complicat...

A 57-year-old man, who had undergone subtotal esophagectomy and bowel reconstruction with a stomach roll located in the retrosternal space 4 years before, developed pneumopericardium (Fig. 1) due to ulcer perforation (Fig. 2). He is alive and well 8 years after partial gastrectomy and pericardial drainage followed by pericardiectomy for secondary constrictive pericarditis. European Journal of C...

A 25-year-old woman underwent surgical tooth extraction. Several hours after the procedure, the woman complained of severe retrosternal pain and mild dyspnea. Subsequent imaging revealed subcutaneous emphysema from the mandibular region extending to the mediastinum and left side pneumothorax, as well as pneumopericardium. After treatment with antibiotics and analgesics, the patient recovered wi...