A delayed case of tension pneumopericardium after total gastrectomy.
A case of tension pneumopericardium that occurred after total gastrectomy in an 80 year old woman is presented. There have been some prior case reports of pneumopericardium that occurred during positive pressure ventilation; in this patient hypotension due to tension pneumopericardium occurred after extubation. Return of spontaneous ventilation with negative-pressure breathing may have induced air aspiration into the pericardial sac from the abdominal cavity.
Department of Anesthesiology, Osaka City General Hospital, Osaka, 534-0021, Japan.
Daisuke
D
Arashi
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan. Electronic address: katsuakitanakakatsuaki@gmail.com.
Katsuaki
K
Tanaka
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
Taku
T
Hamada
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
Tomoharu
T
Funao
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
Ichiro
I
Hase
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya, Hyogo Prefecture, 663-8131, Japan.
Nobutaka
N
Kariya
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
Takashi
T
Mori
Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
Kiyonobu
K
Nishikawa
D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods; D000818:Animals; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D010496:Pericardium / Q000000981:diagnostic imaging; D011026:Pneumopericardium / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods
Gastrectomy; General anesthesia; Pneumopericardium