Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
Pneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastr...
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Format: | Article |
Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2015/256546 |
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author | Erwin E. Argueta Menfil A. Orellana-Barrios Teerapat Nantsupawat Alvaro Rosales Scott Shurmur |
author_facet | Erwin E. Argueta Menfil A. Orellana-Barrios Teerapat Nantsupawat Alvaro Rosales Scott Shurmur |
author_sort | Erwin E. Argueta |
collection | DOAJ |
description | Pneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastrointestinal (GI) surgery, as this may lead to a fistula communicating the GI tract and the pericardium. We report a 42-year-old man with history of numerous surgical interventions related to a Nissen fundoplication that presented with acute chest pain and inferior lead ST segment elevations. Emergent coronary angiography was negative for coronary vascular disease but fluoroscopy revealed air in the pericardial space. Subsequent radiographic studies helped confirm air in the pericardial space with a fistulous communication to the stomach. Ultimate treatment for this defect was surgical closure. |
format | Article |
id | doaj-art-deb8f538fd734cb0a5a7b6dd5726617e |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-deb8f538fd734cb0a5a7b6dd5726617e2025-02-03T01:12:16ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/256546256546Pneumopericarditis: A Case of Acute Chest Pain with ST Segment ElevationErwin E. Argueta0Menfil A. Orellana-Barrios1Teerapat Nantsupawat2Alvaro Rosales3Scott Shurmur4Department of Internal Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Internal Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USAPneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastrointestinal (GI) surgery, as this may lead to a fistula communicating the GI tract and the pericardium. We report a 42-year-old man with history of numerous surgical interventions related to a Nissen fundoplication that presented with acute chest pain and inferior lead ST segment elevations. Emergent coronary angiography was negative for coronary vascular disease but fluoroscopy revealed air in the pericardial space. Subsequent radiographic studies helped confirm air in the pericardial space with a fistulous communication to the stomach. Ultimate treatment for this defect was surgical closure.http://dx.doi.org/10.1155/2015/256546 |
spellingShingle | Erwin E. Argueta Menfil A. Orellana-Barrios Teerapat Nantsupawat Alvaro Rosales Scott Shurmur Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation Case Reports in Cardiology |
title | Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation |
title_full | Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation |
title_fullStr | Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation |
title_full_unstemmed | Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation |
title_short | Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation |
title_sort | pneumopericarditis a case of acute chest pain with st segment elevation |
url | http://dx.doi.org/10.1155/2015/256546 |
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