Case Report

A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis

Table 1

Summary of selected case reports on pneumopericardium.

CaseAge/sexEtiologyPresentationManagementOutcome

120/M [1]Pericardiocentesis of TB effusionPleuritic chest painConservative
Steroids
TB meds
Improved

247/F [6]Pericardiocentesis in sclerodermaAsymptomaticConservative
Steroids
Improved

369/M [7]CABGCardiac tamponadeSurgical decompressionImproved

440/F [8]Double valve replacementCough
Pericardial friction rub
ConservativeImproved

580/F [3]Rupture of gastric volvulus into pericardial cavitySTEMIPalliativeExpired

660/F [9]Barotrauma (mechanical ventilation)Pneumothorax
Pneumomediastinum Desaturation
Pericardiocentesis Needling
CPR
Expired

754/M [5]Bacterial infection (Streptococcus milleri)Cardiac tamponade
High fever
Pericardiocentesis Antibiotics Intrapericardial urokinaseImproved

820/M [10]SpontaneousDyspnea
Neck & chest pain
Crepitus
ConservativeImproved

TB = tuberculous/tuberculosis; CABG = coronary artery bypass graft; STEMI = ST-elevation myocardial infarction.