Open AccessPneumopericardium and Deep Sulcus Sign After Blunt Chest Trauma
Author(s) -
Osman Beton,
Hatice Kaplanoğlu,
Ali Bulut,
Süleyman Sürer,
Uğursay Kızıltepe
Publication year - 2016
Publication title -
the annals of clinical and analytical medicine
Language(s) - English
Resource type - Journals
ISSN - 2667-663X
DOI - 10.4328/jcam.1368
Subject(s) - medicine , pneumopericardium , blunt , sign (mathematics) , sulcus , thoracic trauma , surgery , blunt trauma , pneumothorax , mathematical analysis , mathematics
Pneumopericardium is defined as air between the leaves of the pericardium, which is usually self-limited. In tension pneumopericardium, however, rapid fluid resuscitation and haemodynamic monitoring followed by pericardial fenestration and drainage should be performed. A 49-year-old male falling from height was brought to the emergency room. On chest X-ray in supine position, a deep sulcus sign and subcutaneous emphysema with multiple rib fractures were detected. At computerized tomography, pericardial free air, right pneumothorax and subcutaneous emphysema were detected. A tube thoracostomy was applied to the patient. During follow-up with cardiac enzymes in the intensive care unit, no tension pneumopericardium developed, and subcutaneous emphysema regressed. A control computerized tomography scan showed a complete regression in the pneumopericardium on the tenth day