Cocaine-Induced Pneumopericardium: Safe for Discharge? A Case Report and Literature Review

Figure 1

Chest X-ray (a) and chest CT (b). On both pictures, subcutaneous emphysema is apparent at the right side of the neck (thick white arrow) as well as air tracking in the centre of the mediastinum indicative for mediastinal emphysema or pneumomediastinum (thin white arrow). Chest CT reveals a pneumopericardium (thin black arrow) and a small pneumothorax (thick black arrow). The pericardium can be seen between the pneumopericardium and pneumothorax (black triangle).

(a)

(b)