[Pneumopericardium after hyperemesis. Possible result of the Macklin effect].
Pneumopericardium is a rare but serious finding. It may indicate severe chest trauma and be associated with tracheobronchial and oesophageal injuries. On the other hand, oesophageal rupture such as Boerhaave's syndrome may also be accompanied by pneumopericardium. A case of spontaneous pneumopericardium and pneumomediastinum after alcohol-induced emesis is reported. Tracheal, bronchial, and oesophageal injury were excluded by radiology and endoscopy. Interstitial lung emphysema is discussed as the pathogenesis.
Ring
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Abteilung für Allgemein-, Viszeral-, und Unfallchirurgie, Darmzentrum Ruhr, St.-Josefs-Hospital Dortmund-Süd, Wilhelm-Schmidt-Strasse 4, Dortmund, Germany. andrej.ring@ruhr-uni-bochum.de
Liebert
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T
Stern
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J
D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology*; D011026:Pneumopericardium / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology*; D011650:Pulmonary Alveoli / Q000503:physiopathology; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012422:Rupture, Spontaneous; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D036542:Tomography, Spiral Computed; D014839:Vomiting / Q000150:complications* / Q000503:physiopathology*